Provider Demographics
NPI:1053797985
Name:FISCHER COUNSELING AND CONSULTING
Entity type:Organization
Organization Name:FISCHER COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:M ED
Authorized Official - Phone:360-271-3736
Mailing Address - Street 1:1730 POTTERY AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:PORT ORCHARD
Mailing Address - State:WA
Mailing Address - Zip Code:98366-2565
Mailing Address - Country:US
Mailing Address - Phone:360-876-5483
Mailing Address - Fax:
Practice Address - Street 1:1730 POTTERY AVE STE 120
Practice Address - Street 2:
Practice Address - City:PORT ORCHARD
Practice Address - State:WA
Practice Address - Zip Code:98366-2565
Practice Address - Country:US
Practice Address - Phone:360-876-5483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-03
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60573008251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health