Individual
MICHAEL F FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LADC/MH
Contact information
Practice address
27371 S 4410 RD, VINITA, OK 74301-7953
(918) 256-4800
(918) 256-4588
Mailing address
27371 S 4410 RD, VINITA, OK 74301-7953
(918) 256-4800
(918) 256-4588
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
176
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100257840A
—
OK
01
—
244402801
MEDICARE ID-TYPE UNSPECFIED
OK
Enumeration date
04/02/2008
Last updated
07/21/2022
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