Individual
MR. KENT DAVID FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC. MHSP-S
Contact information
Practice address
1713 LOCKETT PLACE, MEMPHIS, TN 38104
(901) 372-0710
(901) 729-4600
Mailing address
1713 LOCKETT PLACE, MEMPHIS, TN 38104
(901) 372-0710
(901) 729-4600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0699
TN
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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