MICHAEL JACOB FISHER CSAC-S, - NPI 1366192452

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

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About Michael Jacob Fisher Csac-s, NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL JACOB FISHER CSAC-S, (NPI 1366192452) is an individual addiction (substance use disorder) provider in Roanoke, Virginia and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1366192452

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMICHAEL JACOB FISHERCredential: CSAC-S,

Location Address3208 HERSHBERGER RD NWRoanoke, VA 24017-1842

Mailing Address2306 Longview Ave SwRoanoke, VA 24014-1614 · (603) 978-9032

Phone(540) 202-2402

Fax(540) 563-3084

Sole ProprietorYes

Enumeration DateMarch 24, 2022

NPPES CertifiedMarch 24, 2022

✔ NPI 1366192452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

3208 HERSHBERGER RD NW, Roanoke, VA 24017

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP