Individual
MRS. KRISTEN RACKL FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN, BS, CASAC
Contact information
Practice address
34 N MAIN ST, WARSAW, NY 14569-1326
(585) 786-0220
(585) 786-3631
Mailing address
227 THORN AVE, ORCHARD PARK, NY 14127-2600
(716) 662-2040
(716) 662-0019
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22077
NY
164W00000X
Licensed Practical Nurse
277387
NY
Other
Enumeration date
02/11/2008
Last updated
01/27/2011
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