Individual
MS. CORIN JACKLYN FISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 2ND AVE N STE 336, GREAT FALLS, MT 59401-3243
(406) 868-5370
Mailing address
PO BOX 6325, GREAT FALLS, MT 59406-6325
(406) 868-5370
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
BBH-LAC-LIC-1223
MT
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-1569
MT
Other
Enumeration date
05/03/2010
Last updated
10/01/2025
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