Individual
MR. NICHOLAS S FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
203 E 4TH ST, VINTON, IA 52349-1804
(319) 472-4499
(319) 472-4499
Mailing address
2240 51ST ST, MOUNT AUBURN, IA 52313-9635
(319) 472-4499
(319) 472-4499
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
00118
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163686000
—
IA
Enumeration date
01/11/2007
Last updated
02/26/2024
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