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NPI Code Detail

MEDICARE: MR. SHERROD FISHER LPC

MEDICARE:  MR. SHERROD  FISHER  LPC
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 Counselor0701011558VA

General Provider Information

NPI Number : 1255045423
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SHERROD FISHER LPC
Provider Business Mailing Address
First Line : 2321 RIVERSIDE DR STE 42
Second Line :
City : DANVILLE
State : VA
Zip : 24540-4267
Country : US
Telephone Number : 434-354-2219
Fax Number : 434-354-2204
Provider Business Practice Location Address
First Line : 2321 RIVERSIDE DR STE 42
Second Line :
City : DANVILLE
State : VA
Zip : 24540-4267
Country : US
Telephone Number : 434-354-2219
Fax Number : 434-354-2204
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2023
Last Update Date : 05/29/2026

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Directions to “ MR. SHERROD FISHER LPC” Practice Location

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