Individual
ELLIE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
LPC
Contact information
Practice address
233 E MAIN ST STE 401, BOZEMAN, MT 59715-5045
(640) 888-6005
Mailing address
1335 CRANFORD AVE, LAKEWOOD, OH 44107-2309
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
89987
TX
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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