Individual
MICHAEL JACOB FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSAC-S,
Contact information
Practice address
3208 HERSHBERGER RD NW, ROANOKE, VA 24017-1842
(540) 202-2402
(540) 563-3084
Mailing address
2306 LONGVIEW AVE SW, ROANOKE, VA 24014-1614
(603) 978-9032
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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