Provider Demographics
NPI:1629813514
Name:FISCHER, CIERRA (APCC 17381)
Entity type:Individual
Prefix:
First Name:CIERRA
Middle Name:
Last Name:FISCHER
Suffix:
Gender:F
Credentials:APCC 17381
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1544 EUREKA RD STE 280
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-3093
Mailing Address - Country:US
Mailing Address - Phone:480-217-8201
Mailing Address - Fax:
Practice Address - Street 1:1544 EUREKA RD STE 280
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-3093
Practice Address - Country:US
Practice Address - Phone:480-217-8201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2025-11-20
Deactivation Date:2024-07-01
Deactivation Code:
Reactivation Date:2024-07-15
Provider Licenses
StateLicense IDTaxonomies
CA17381101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health