Individual
KAYLA MARIE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2116 EMERSON ST, WESTLAND, MI 48186-4653
(586) 894-2558
Mailing address
2116 EMERSON ST, WESTLAND, MI 48186-4653
(586) 894-2558
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SA0823347
MI
Other
Enumeration date
01/22/2022
Last updated
01/22/2022
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