Individual provider · Type 1 NPI

Isadora Teitelbaum Fisher

Addiction (Substance Use Disorder) Counselor · San Rafael, CA

NPI number 1912508045 Active

Practice location

1477 Lincoln Ave
San Rafael, CA 94901-2028

Call (415) 459-2395 Map

Fax (415) 459-1292

Mailing address

135 Paul Dr
San Rafael, CA 94903-2023

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1912508045

Isadora Teitelbaum Fisher's National Provider Identifier is 1912508045, issued on Nov 4, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Rafael, CA. The record was last updated on Nov 4, 2020.