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Isadora Teitelbaum Fisher
Addiction (Substance Use Disorder) Counselor in San Rafael, California
NPI 1912508045

Isadora Teitelbaum Fisher is an Addiction (Substance Use Disorder) Counselor based in San Rafael, CA and is specialized in Addiction (Substance Use Disorder). Isadora Teitelbaum Fisher practices in San Rafael, CA. The NPI Number for Isadora Teitelbaum Fisher is 1912508045 and holds a License No. (California).

The current practice location address for Isadora Teitelbaum Fisher is 1477 Lincoln Ave, San Rafael, CA and can be reached out via phone at 415-459-2395 and via fax at 415-459-1292.

Location: 1477 Lincoln Ave, San Rafael, CA, 94903-2023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912508045
Provider Name
Isadora Teitelbaum Fisher
Credential
Provider Entity Type
Individual
Gender
Female
Address
1477 Lincoln Ave, San Rafael, CA, 94903-2023
Phone Number
415-459-2395
Fax Number
415-459-1292
Provider Enumeration Date
11/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1477 Lincoln Ave
City
San Rafael
State
California
Zip
94901-2028
Phone Number
415-459-2395
Fax Number
415-459-1292
person
Provider Business Mailing Address Details
Address
1477 Lincoln Ave
City
San Rafael
State
California
Zip
94901-2028
Phone Number
415-459-2395
Fax Number
415-459-1292
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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