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Individual

LAKESHIA FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
302 COURTHOUSE RD STE G, GULFPORT, MS 39507-1890
(228) 897-7465
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
3059
MS
101YP2500X
Professional Counselor
Primary
3059
MS

Other

Enumeration date
10/15/2018
Last updated
10/31/2024
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