Individual
MR. JAMES LEE FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEER SPECIALIST
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
Update your record
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