Provider Demographics
NPI:1124460076
Name:FISHER-ROWE, WANDA SHARI (MA LMHCA)
Entity type:Individual
Prefix:
First Name:WANDA
Middle Name:SHARI
Last Name:FISHER-ROWE
Suffix:
Gender:F
Credentials:MA LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5241 W HATTERY OWENS RD
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:WA
Mailing Address - Zip Code:99006-9457
Mailing Address - Country:US
Mailing Address - Phone:509-863-8762
Mailing Address - Fax:
Practice Address - Street 1:1921 W NORTHWEST BLVD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-3714
Practice Address - Country:US
Practice Address - Phone:509-863-8762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-19
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC 60330175101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health