Individual
JARVIA LYNN FISHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC0742
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259147-000
MAGELLAN BEHAVIORAL HEALTH
MD
05
—
609550001
—
MD
01
—
7840093
AETNA
MD
01
—
R968
CAREFIRST BCBS
MD
Enumeration date
12/07/2007
Last updated
12/06/2021
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