Individual
STEPHANIE ROSE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7616 CLYDE PARK AVE SW STE G, BYRON CENTER, MI 49315-9541
(616) 591-6431
Mailing address
1431 ANDREW ST SE, KENTWOOD, MI 49508-4813
(616) 325-8997
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401017534
MI
Other
Enumeration date
08/17/2019
Last updated
02/27/2026
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