| Doctor Name: | MALLORY ELIZABETH FISHER |
| NPI Number: | 1134465552 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. LMHC |
| License Number: | MC60302183 |
| Business Practice Address: | 2722 Colby Ave #725 Everett, WA - 982013557 |
| Business Phone Number: | 4252025242 |
| Business Fax Number: | |
| Mailing Address: | 17716 Bothell Everett Hwy, E102 BOTHELL |
| State: | WA |
| Postal Code: | 980126351 |
| Phone Number: | 4252025242 |
| Fax Number: | |
| NPI Enumeration Date: | 12/13/2012 |
| NPI Last Update Date: | 03/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | MC60302183 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| 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 |