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NPI Code Detail

MEDICARE: ELLIE CHIENO FISHER

MEDICARE: ELLIE CHIENO 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
1106H00000XMarriage & Family Therapist164169CA

General Provider Information

NPI Number : 1821584269
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLIE CHIENO FISHER
Provider Business Mailing Address
First Line : 515 BOYNTON AVE APT 27
Second Line :
City : SAN JOSE
State : CA
Zip : 95117-1306
Country : US
Telephone Number : 209-640-8467
Fax Number :
Provider Business Practice Location Address
First Line : 2828 FORD ST
Second Line :
City : OAKLAND
State : CA
Zip : 94601-2114
Country : US
Telephone Number : 510-268-3770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2018
Last Update Date : 06/26/2026

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Directions to “ ELLIE CHIENO FISHER ” Practice Location

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