Individual provider · Type 1 NPI
Lavern M. Fisher, M.A.
Mental Health Counselor · Longview, WA
NPI number
1366686735
Active
Practice location
803 Vandercook Way Ste 9
Longview, WA 98632-4039
Fax (360) 539-0010
Mailing address
PO Box 1400
Kalama, WA 98625-1200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | RC00043956 (WA) |
| Mental Health Counselor Primary | 101YM0800X | LH60110623 (WA) |
Mental Health Counselor: Definition to come...
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About NPI 1366686735
Lavern M. Fisher, M.A.'s National Provider Identifier is 1366686735, issued on Apr 28, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Longview, WA. The record was last updated on Apr 7, 2010.