Individual
KRISTIN D. FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LCMHC
Contact information
Practice address
7401 CARMEL EXECUTIVE PARK DR, CHARLOTTE, NC 28226-8275
(704) 752-8414
Mailing address
641 AMANDA DR, MATTHEWS, NC 28104-9398
(804) 836-4883
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A13633
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
CREDENTIALING IN PROCESS
—
Enumeration date
06/20/2018
Last updated
03/09/2023
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