Provider Demographics
NPI:1700382900
Name:FISCALETTI, KARIN FRANCES (LMHP, CPC, PLADC)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:FRANCES
Last Name:FISCALETTI
Suffix:
Gender:F
Credentials:LMHP, CPC, PLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:952 CAROTHERS RD
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163-9681
Mailing Address - Country:US
Mailing Address - Phone:402-870-1861
Mailing Address - Fax:
Practice Address - Street 1:952 CAROTHERS RD
Practice Address - Street 2:
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163-9681
Practice Address - Country:US
Practice Address - Phone:402-870-1861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-05
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61151286101YM0800X
IDLCPC-8345101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty