Individual
MS. KRISTINA MARIE FISKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
211 PLEASANT HOME RD STE G1, AUGUSTA, GA 30907-0560
(706) 364-4599
(706) 364-4589
Mailing address
7219 HOFFMAN DR, EVANS, GA 30809-0360
(706) 339-3522
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC011030
GA
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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