Individual provider · Type 1 NPI

Jeremiah Fisher, RADT-I

Addiction (Substance Use Disorder) Counselor · Reseda, CA

NPI number 1508696691 Active

Practice location

7232 Canby Ave Ste 4.56
Reseda, CA 91335-3006

Call (818) 705-5561 Map

Mailing address

7232 Canby Ave Ste 456
Reseda, CA 91335-3006

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1564070624 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1508696691

Jeremiah Fisher, RADT-I's National Provider Identifier is 1508696691, issued on Aug 5, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Reseda, CA. The record was last updated on Aug 5, 2024.