Provider Demographics
NPI:1336313907
Name:FISCHER, HANNAH NICOLE (LPC, LMHC)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:NICOLE
Last Name:FISCHER
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:FISCHER COUNSELING INC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC, LMHC
Mailing Address - Street 1:3731 SE 164TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97236-1709
Mailing Address - Country:US
Mailing Address - Phone:503-680-2478
Mailing Address - Fax:503-251-1751
Practice Address - Street 1:3731 SE 164TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97236-1709
Practice Address - Country:US
Practice Address - Phone:503-680-2478
Practice Address - Fax:503-251-1751
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00010659101YM0800X
ORC1901101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health