Individual
DIEDRE MONIQUE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCASA
Contact information
Practice address
300 MOORESVILLE RD, KANNAPOLIS, NC 28081-0304
(704) 920-1205
(704) 934-4270
Mailing address
100 BILLINGSLEY RD, CHARLOTTE, NC 28211-1002
(704) 927-8798
(704) 376-3384
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3352
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3352
NC
Other
Enumeration date
06/12/2013
Last updated
06/07/2022
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