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NPI Code Detail

MEDICARE: MRS. TEKEESHA LYNN FISHER

MEDICARE: MRS. TEKEESHA LYNN FISHER
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 CounselorIL

General Provider Information

NPI Number : 1649133422
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TEKEESHA LYNN FISHER
Provider Business Mailing Address
First Line : 377 W VIRGINIA ST
Second Line :
City : CRYSTAL LAKE
State : IL
Zip : 60014-5756
Country : US
Telephone Number : 815-707-4806
Fax Number :
Provider Business Practice Location Address
First Line : 377 W VIRGINIA ST
Second Line :
City : CRYSTAL LAKE
State : IL
Zip : 60014-5756
Country : US
Telephone Number : 815-707-4806
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ MRS. TEKEESHA LYNN FISHER ” Practice Location

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