Individual
ALBERT B FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
101 RAINBOW WAY, FAYETTEVILLE, GA 30214-3979
(678) 489-6017
Mailing address
101 RAINBOW WAY, FAYETTEVILLE, GA 30214-3979
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006926
GA
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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