Healthcare Provider Details

I. General information

NPI: 1265903033
Provider Name (Legal Business Name): MRS. CHRISTI MICHELLE FISCHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2018
Last Update Date: 12/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 E AMERICAN AVE
FRESNO CA
93725-9247
US

IV. Provider business mailing address

3122 N MILLBROOK AVE STE B
FRESNO CA
93703-1458
US

V. Phone/Fax

Practice location:
  • Phone: 559-600-4876
  • Fax:
Mailing address:
  • Phone: 559-225-9117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: