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Individual
CHARLENE FISHER
Active
Individual
CHARLENE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
RAS II-F1011091055
CA
101YM0800X
Mental Health Counselor
Primary
AMFT119007
CA
Other
Enumeration date
12/09/2014
Last updated
11/06/2020
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