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Individual

MR. PAUL JOHN FISCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LADC

Contact information

Practice address
1230 SCHOOL ST NW, ELK RIVER, MN 55330-2422
(763) 241-3558
(763) 241-3540
Mailing address
1230 SCHOOL ST NW, ELK RIVER, MN 55330-2422
(763) 241-3558
(763) 241-3540

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302046
MN
101YM0800X
Mental Health Counselor
MN

Other

Enumeration date
03/25/2020
Last updated
03/25/2020
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