| Doctor Name: | MICHAEL F FISHER |
| NPI Number: | 1295908945 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS, LADC |
| License Number: | LADC 176 |
| Business Practice Address: | 1015 W Washbourne St Jay, OK - 743464205 |
| Business Phone Number: | 9182534271 |
| Business Fax Number: | 9182534938 |
| Mailing Address: | Po Box 350, JAY |
| State: | OK |
| Postal Code: | 743460350 |
| Phone Number: | 9182534271 |
| Fax Number: | 9182534938 |
| NPI Enumeration Date: | 04/02/2008 |
| NPI Last Update Date: | 01/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LADC 176 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |