Active NPIIndividual provider

Nicole P Fisher, MA, LAC

Counselor, Mental Health in Medford, New Jersey

NPI Number1194481960
Practice location
66 N Main St, Medford, NJ 08055-2719
Fax
—
Last updated
November 16, 2021

Nicole Paulina Fisher is a Counselor, Mental Health based in Medford, NJ. Nicole Paulina Fisher practices in Medford, NJ and has the professional credentials of MA, LAC. The NPI Number for Nicole Paulina Fisher is 1194481960 and holds a License No. 37AC00611800 (NJ). The current practice location address for Nicole Paulina Fisher is 66 N Main St, Medford, NJ 08055-2719 and can be reached out via phone at 609-714-8400.

Provider Profile Details

NPI Number
1194481960
Provider Name
Nicole Paulina Fisher
Credential
MA, LAC
Provider Entity Type
Individual
Gender
Female
Address
66 N Main St, Medford, NJ 08055-2719
Phone Number
609-714-8400
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
November 16, 2021
Last Update Date
November 16, 2021
Certification Date
November 16, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
66 N Main St
Medford, NJ 08055-2719
Zip
08055-2719
Phone Number
609-714-8400
Medford, NJ 08055Get directions →

Provider Business Mailing Address Details

Address
66 N Main St
Medford, NJ 08055-2719
City
Medford
State
NJ
Zip
08055-2719
Phone Number
609-714-8400

License Information

License Number
37AC00611800
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole P Fisher, MA, LAC?

The NPI number of Nicole P Fisher, MA, LAC is 1194481960. It was assigned on November 16, 2021 and is currently active in the NPPES registry.

What is the specialty of Nicole P Fisher, MA, LAC?

Nicole P Fisher, MA, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00611800.

Where does Nicole P Fisher, MA, LAC practice?

The practice location is 66 N Main St, Medford, NJ 08055-2719. The office can be reached at 609-714-8400 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194481960 directly on the NPPES registry website.

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