Individual
JAMIE L FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC, LPCC
Contact information
Practice address
7117 OHMS LN, EDINA, MN 55439-2142
(763) 292-2368
Mailing address
7117 OHMS LN, EDINA, MN 55439-2142
(763) 292-2368
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
306378
MN
101YP2500X
Professional Counselor
Primary
4340
MN
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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