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Individual
THAD WILLIAM FISHER
Active
Individual
THAD WILLIAM FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, M.DIV.
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
05/19/2017
Last updated
05/19/2017
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