Individual
MS. CRYSTAL POIRIER FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LADC
Contact information
Practice address
900 MAIN ST, FAIRFAX, VT 05454-9526
(802) 849-2639
Mailing address
900 MAIN STREET, FAIRFAX, VT 05454
(802) 849-2639
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000703
VT
1041C0700X
Clinical Social Worker
Primary
89.0099956
VT
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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