Individual
DUSTIN FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
6 HOSPITAL PLZ, CLARKSBURG, WV 26301-9316
(304) 623-5661
Mailing address
189 MEADOW DR, MOUNT CLARE, WV 26408-6881
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2834
WV
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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