Doctor Name: | MS. ALICE BAKER FISHER |
NPI Number: | 1134339971 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | SW741 |
Business Practice Address: | 5469 River Trail Rd N Jacksonville, FL - 322771114 |
Business Phone Number: | 9047441756 |
Business Fax Number: | |
Mailing Address: | 5469 River Trail Rd N, JACKSONVILLE |
State: | FL |
Postal Code: | 322771114 |
Phone Number: | 9047441756 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | SW741 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |