| NPI | 1215475561 |
|---|---|
| Doing Business As | NATHAN FISHER |
| Entity Type | Organization |
| Authorized Contact | NATHAN FISHER Clinical Director/Owner 606-678-0026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 166819) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2018-12-20 |