Individual
MR. DEREK E FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., P.C.C.
Contact information
Practice address
17606 COSHOCTON RD, MOUNT VERNON, OH 43050-9218
(740) 397-0533
Mailing address
PO BOX 335, MOUNT VERNON, OH 43050-0335
(740) 397-5047
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0003702
OH
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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