Provider Demographics
NPI:1679909410
Name:FISCHER, KRISTIN SWEET (MA, LMFT)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:SWEET
Last Name:FISCHER
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:SWEET
Other - Last Name:MCGEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:KRISTIN SWEET MCGEE
Mailing Address - Street 1:3118 N 31ST ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98407-6411
Mailing Address - Country:US
Mailing Address - Phone:253-200-3908
Mailing Address - Fax:253-292-0434
Practice Address - Street 1:3118 N 31ST ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98407-6411
Practice Address - Country:US
Practice Address - Phone:253-200-3908
Practice Address - Fax:253-292-0434
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG0416666101Y00000X
WALF60755871102L00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst