Individual provider · Type 1 NPI
Ivy Loren Fisher
Mental Health Counselor · New York, NY
NPI number
1962021527
Active
Practice location
1000 10th Ave
New York, NY 10019-1147
Mailing address
4705 Center Blvd Apt 206
Long Island City, NY 11109-5633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1962021527
Ivy Loren Fisher's National Provider Identifier is 1962021527, issued on Apr 14, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Apr 14, 2020.