Individual
JENNIFER FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCMHT
Contact information
Practice address
1501 LACKEY ST, LEAKESVILLE, MS 39451-3108
(601) 394-5047
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1901
(601) 705-1952
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5622
MS
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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