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NPI Code Detail

MEDICARE: MRS. KERRI LYNN FISHER LMHC

MEDICARE: MRS. KERRI LYNN 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
1101YM0800XMental Health Counselor39002419AIN

General Provider Information

NPI Number : 1558819474
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KERRI LYNN FISHER LMHC
Provider Business Mailing Address
First Line : 606 E MAIN ST
Second Line :
City : MADISON
State : IN
Zip : 47250-4708
Country : US
Telephone Number : 813-230-9630
Fax Number :
Provider Business Practice Location Address
First Line : 606 E MAIN ST
Second Line :
City : MADISON
State : IN
Zip : 47250-4708
Country : US
Telephone Number : 813-230-9630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2016
Last Update Date : 09/20/2016

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