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Individual

ALEXANDRA FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSAC, ADCR

Contact information

Practice address
63 JEFFERY AVE, LANCASTER, VA 22503-2607
(540) 455-6953
Mailing address
63 JEFFERY AVE, LANCASTER, VA 22503-2607
(540) 455-6953

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0710103709
COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
VA
01
8187
MINNESOTA CERTIFICATION BOARD
MN
Enumeration date
09/14/2022
Last updated
09/14/2022
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