Provider Demographics
NPI:1669504247
Name:FISHER-O'CONNOR COUNSELING, INC.
Entity Type:Organization
Organization Name:FISHER-O'CONNOR COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELYNE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:L MFT
Authorized Official - Phone:253-851-7525
Mailing Address - Street 1:2025 NARROWS VIEW CIR NW
Mailing Address - Street 2:D 233
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-6807
Mailing Address - Country:US
Mailing Address - Phone:253-851-3808
Mailing Address - Fax:
Practice Address - Street 1:2025 NARROWS VIEW CIR NW
Practice Address - Street 2:D 233
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-6807
Practice Address - Country:US
Practice Address - Phone:253-851-3808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00001183106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty