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General NPI Number Information
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NPI Number | 1295896975
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Entity Type | Individual
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Provider Name | BRIGITTE LOURIE FISHER M.F.T., L.E.P.
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 919 VILLAGE CTR STE 6
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City | LAFAYETTE
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State | CA
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Zip | 94549-3599
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Country | US
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Telephone | 925-284-1611
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Fax | 510-420-1459
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Provider Business Mailing Address
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Address Line | 204 EL CAMINO REAL
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City | BERKELEY
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State | CA
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Zip | 94705-2825
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Country | US
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Telephone | 510-652-5293
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Fax | 510-420-1459
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | M.F.T. 4338
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License Number State | CA
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