Individual
MALLORY FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
7437 DORWICK DR, NORTHFIELD, OH 44067-2630
(440) 832-0747
Mailing address
7437 DORWICK DR, NORTHFIELD, OH 44067-2630
(440) 832-0747
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICDC.131081
OH
101YP2500X
Professional Counselor
Primary
E.1000500
OH
Other
Enumeration date
05/06/2014
Last updated
07/27/2016
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