Individual
KATIE FISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 DODGE ST, DELTA, CO 81416-1712
(970) 787-0796
Mailing address
140 DODGE ST, DELTA, CO 81416-1712
(970) 787-0796
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACA.0007930
CO
Other
Enumeration date
04/24/2020
Last updated
02/09/2022
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