Individual provider · Type 1 NPI

Stephanie Rose Fisher

Mental Health Counselor · Byron Center, MI

NPI number 1629624390 Active

Practice location

7616 Clyde Park Ave SW Ste G
Byron Center, MI 49315-9541

Call (616) 591-6431 Map

Mailing address

1431 Andrew St SE
Kentwood, MI 49508-4813

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6401017534 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1629624390

Stephanie Rose Fisher's National Provider Identifier is 1629624390, issued on Aug 17, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Byron Center, MI. The record was last updated on Feb 27, 2026.