Individual
STEPHANIE L FISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
1655 BURLINGTON PIKE STE 101, FLORENCE, KY 41042-4909
(859) 342-6444
(859) 342-0999
Mailing address
1107 BAYSWATER DR, UNION, KY 41091-7182
(859) 409-8115
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
279811
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
279811
COUNSELING LICENSE NUMBER
KY
Enumeration date
02/17/2023
Last updated
02/17/2023
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