Individual
MARY JILL FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1107 WHITE ST, MCCOMB, MS 39648-2957
(601) 684-2173
(601) 249-4234
Mailing address
PO BOX 768, MCCOMB, MS 39649-0768
(601) 684-2173
(601) 249-4234
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1500
MS
101YP2500X
Professional Counselor
Primary
18330
TX
Other
Enumeration date
09/01/2006
Last updated
09/30/2010
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