Individual
DAVID ALAN FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, MA ED,
Contact information
Practice address
900 MAIN ST, FAIRFAX, VT 05454-9526
(802) 582-8254
Mailing address
900 MAIN ST, FAIRFAX, VT 05454-9526
(802) 582-8254
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
097.0134472
VT
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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