Provider Demographics
NPI:1598189193
Name:FITCH, AIMEE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:AIMEE
Middle Name:
Last Name:FITCH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:
Other - Last Name:CERDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1825 PINION RD STE A
Mailing Address - Street 2:
Mailing Address - City:ELKO
Mailing Address - State:NV
Mailing Address - Zip Code:89801-8319
Mailing Address - Country:US
Mailing Address - Phone:775-738-8021
Mailing Address - Fax:775-738-8842
Practice Address - Street 1:1825 PINION RD STE A
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-8319
Practice Address - Country:US
Practice Address - Phone:775-738-8021
Practice Address - Fax:775-738-8842
Is Sole Proprietor?:No
Enumeration Date:2014-02-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9100-C101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health