Provider Demographics
NPI:1568905255
Name:FISHER COUNSELING SERVICES
Entity Type:Organization
Organization Name:FISHER COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:M
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:816-617-9417
Mailing Address - Street 1:19092 TOMAHAWK LN
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64505-8555
Mailing Address - Country:US
Mailing Address - Phone:816-617-9417
Mailing Address - Fax:816-535-2188
Practice Address - Street 1:2400 FREDERICK AVE
Practice Address - Street 2:SUITE 407
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-2758
Practice Address - Country:US
Practice Address - Phone:816-617-9417
Practice Address - Fax:816-535-2188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-29
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health