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General NPI Number Information
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NPI Number | 1568905255
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Entity Type | Organization
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Legal Business Name | FISHER COUNSELING SERVICES
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Dates
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Enumeration Date | 11/29/2016
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Last Update Date | 11/29/2016
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Provider Practice Location Address
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Address Line | 2400 FREDERICK AVE SUITE 407
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City | SAINT JOSEPH
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State | MO
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Zip | 64506-2758
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Country | US
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Telephone | 816-617-9417
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Fax | 816-535-2188
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Provider Business Mailing Address
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Address Line | 19092 TOMAHAWK LN
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City | SAINT JOSEPH
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State | MO
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Zip | 64505-8555
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Country | US
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Telephone | 816-617-9417
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Fax | 816-535-2188
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Authorized Official
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Title or Position | COUNSELOR
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Name | MR. ANDREW M FISHER
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Credential | LPC
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Telephone | 816-617-9417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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