Individual
LYNDA MAE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, LISAC, LPC
Contact information
Practice address
2266 S DOBSON RD, MESA, AZ 85202-6488
(480) 491-0203
Mailing address
310 W LAGUNA DR, TEMPE, AZ 85282-4812
(480) 491-0203
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC1123
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC0572
AZ
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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