Provider Demographics
NPI:1073224044
Name:FISHER, JENNY LEIGH
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:LEIGH
Last Name:FISHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JENNY
Other - Middle Name:LEIGH
Other - Last Name:JACOBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3120 COHASSET RD STE 6
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-0978
Mailing Address - Country:US
Mailing Address - Phone:530-895-3572
Mailing Address - Fax:
Practice Address - Street 1:3120 COHASSET RD STE 6
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-0978
Practice Address - Country:US
Practice Address - Phone:530-895-3572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-09
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health