Individual
MRS. LACEY NICOLE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
622 SE FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74003-3917
(918) 336-4646
(918) 336-8710
Mailing address
622 SE FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74003-3917
(918) 336-4646
(918) 336-8710
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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