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General NPI Number Information
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NPI Number | 1851356794
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Entity Type | Individual
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Provider Name | LINDA JETER FISHER LMHC
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Gender | Female
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | DEPARTMENT OF VETERANS AFFAIRS EXTENDED CARE CNTR 179 ST & LINDEN BLVD, DOMICILIARY #88
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City | JAMAICA
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State | NY
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Zip | 11425-0001
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Country | US
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Telephone | 718-526-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 12010 85TH AVE APARTMENT 4I
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City | KEW GARDENS
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State | NY
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Zip | 11415-3236
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Country | US
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Telephone | 718-441-2475
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Fax |
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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 | 000627
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number | 000627
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License Number State | NY
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