Individual
MR. JAMES LEE FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEER SPECIALIST
Contact information
Practice address
224 N 7TH AVE, PASCO, WA 99301-5411
(509) 545-4462
Mailing address
224 N 7TH AVE, PASCO, WA 99301-5411
(509) 545-4462
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG 60135538
WA
175T00000X
Peer Specialist
Primary
—
WA
376K00000X
Nurse's Aide
NA 00172315
WA
Other
Enumeration date
03/17/2016
Last updated
12/13/2018
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