Individual
MS. LISA M FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
200 JUNEBERRY WAY UNIT 2A, GLEN BURNIE, MD 21061-2321
(443) 286-1763
Mailing address
200 JUNEBERRY WAY UNIT 2A, GLEN BURNIE, MD 21061-2321
(443) 286-1763
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC14272
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC14272
MD BOARD OF PROFESSIONAL COUNSELORS AND THERAPISTS
MD
Enumeration date
10/14/2021
Last updated
09/09/2023
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