Individual
NATHANIEL FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICDC, LPC
Contact information
Practice address
5726 SOUTHWYCK BLVD, TOLEDO, OH 43614-1559
(419) 865-5690
Mailing address
839 CLOVERDALE RD, TOLEDO, OH 43612-3111
(419) 870-2104
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
161551
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487088209
—
OH
Enumeration date
04/30/2018
Last updated
06/16/2018
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