Individual
TAMMY FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-I, LMFT-A
Contact information
Practice address
180 BAILEY LOOP, KYLE, TX 78640-4640
(512) 940-5566
Mailing address
PO BOX 1356, KYLE, TX 78640-1356
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
63345
TX
106H00000X
Marriage & Family Therapist
201262
TX
Other
Enumeration date
04/12/2009
Last updated
04/12/2009
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