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Individual

OLLIE R FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X
Credential
LPC

Contact information

Practice address
7205 E SOUTHERN AVE STE 103, MESA, AZ 85209-2791
(480) 687-4321
(480) 546-3901
Mailing address
1155 S POWER RD STE 114, MESA, AZ 85206-3716
(260) 580-1496

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-23187
AZ

Other

Enumeration date
10/13/2022
Last updated
08/27/2024
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