MEDICARE: MS. CINDY FISCHER MS LCPC LMFT

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	106H00000X	Marriage & Family Therapist	467124	WI
2	106H00000X	Marriage & Family Therapist	166000163	IL
3	101Y00000X	Counselor	180002009	IL

General Provider Information

NPI Number	:	1740320209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CINDY FISCHER MS LCPC LMFT

Provider Business Mailing Address
First Line	:	5301 E STATE ST STE 202
Second Line	:
City	:	ROCKFORD
State	:	IL
Zip	:	61108-2392
Country	:	US
Telephone Number	:	815-282-1800
Fax Number	:	815-397-9827

Provider Business Practice Location Address
First Line	:	5301 E STATE ST STE 202
Second Line	:
City	:	ROCKFORD
State	:	IL
Zip	:	61108-2392
Country	:	US
Telephone Number	:	815-282-1800
Fax Number	:	815-397-9827

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

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	03/31/2021

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