Individual
MRS. KEMA CRIS MARIE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LADAC, BCD
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
1910 CAMPBELL RD, MILLINGTON, TN 38053-6006
(901) 876-5810
(901) 876-5810
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
69
TN
1041C0700X
Clinical Social Worker
Primary
4390
TN
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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