=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750469961
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JUNE ELIZABETH FISHER LMSW, CASAC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/02/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3019 COUNTY COMPLEX DR
-----------------------------------------------------
City | CANANDAIGUA
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14424-9505
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 585-396-4190
-----------------------------------------------------
Fax | 396-383-2916
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3796 STATE ROUTE 364
-----------------------------------------------------
City | CANANDAIGUA
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14424-8360
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 585-394-8169
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number | 9425
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 5331193
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------