Provider Demographics
NPI:1053645952
Name:FISHER, BOBBY RAY (LPC)
Entity Type:Individual
Prefix:MR
First Name:BOBBY
Middle Name:RAY
Last Name:FISHER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 OAK ST STE C
Mailing Address - Street 2:
Mailing Address - City:SPINDALE
Mailing Address - State:NC
Mailing Address - Zip Code:28160-1586
Mailing Address - Country:US
Mailing Address - Phone:704-466-0162
Mailing Address - Fax:
Practice Address - Street 1:172 OAK ST STE C
Practice Address - Street 2:
Practice Address - City:SPINDALE
Practice Address - State:NC
Practice Address - Zip Code:28160-1586
Practice Address - Country:US
Practice Address - Phone:704-466-0162
Practice Address - Fax:828-286-9512
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-24
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7512101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional