Individual
MS. REBECCA L FISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 CENTER ST, APT 4, CORINTH, NY 12822-1169
(518) 480-1619
Mailing address
222 CENTER ST, APT 4, CORINTH, NY 12822-1169
(518) 480-1619
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23594
NY
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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