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NPI Code Detail

MEDICARE: MRS. ANN M. FISHER M.S. ED., LMHC, LCPC

MEDICARE:  MRS. ANN M. FISHER  M.S. ED., LMHC, LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor00893IA
2101YP2500XProfessional Counselor180005397IL

General Provider Information

NPI Number : 1043281421
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANN M. FISHER M.S. ED., LMHC, LCPC
Provider Business Mailing Address
First Line : 2550 MIDDLE RD STE 300
Second Line :
City : BETTENDORF
State : IA
Zip : 52722-3287
Country : US
Telephone Number : 563-445-2375
Fax Number : 563-359-1768
Provider Business Practice Location Address
First Line : 2550 MIDDLE RD STE 300
Second Line :
City : BETTENDORF
State : IA
Zip : 52722-3287
Country : US
Telephone Number : 563-445-2375
Fax Number : 563-359-1768
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2006
Last Update Date : 02/27/2009

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Directions to “ MRS. ANN M. FISHER M.S. ED., LMHC, LCPC” Practice Location

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