Individual
KATIE DECKER-FISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9279 MEDICAL PLAZA DR STE B2, NORTH CHARLESTON, SC 29406-9141
(919) 446-3309
Mailing address
3728 GRANDBRIDGE DR, APEX, NC 27539-5715
(336) 302-5787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7775
SC
Other
Enumeration date
11/08/2015
Last updated
07/05/2023
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