Organization
KRISTINA FISKE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA MARIE FISKE LPC (LPC/OWNER)
(706) 364-4599
Entity
Organization
Contact information
Practice address
211 PLEASANT HOME RD STE G1, AUGUSTA, GA 30907-0560
(706) 364-4599
(706) 364-4589
Mailing address
211 PLEASANT HOME RD STE G1, AUGUSTA, GA 30907-0560
(706) 364-4599
(706) 364-4589
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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