MEDICARE: CLAUDIA RENEE FISHER LMHC

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
1	101YM0800X	Mental Health Counselor	LH61036506	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518417914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA RENEE FISHER LMHC

Provider Business Mailing Address
First Line	:	PO BOX 34703
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98124-1703
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7803 NE FOURTH PLAIN BLVD STE A
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98662-7294
Country	:	US
Telephone Number	:	360-566-4432
Fax Number	:	360-695-0628

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2016
Last Update Date	:	08/06/2024

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