Mr. Carl Rodney Fisher
Addiction Counselor (Substance Use Disorder)
1109 Jones St
Kennett
, Missouri 63857-3824
Mr. Carl Rodney Fisher
Addiction Counselor (Substance Use Disorder)
1109 Jones St
Kennett
, Missouri 63857-3824
(573) 888-2369
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Mr. Carl Rodney Fisher
- 1109 Jones St
- Kennett, MO
- Zip : 63857-3824
- Fax : (573) 888-2369
- Phone : (573) 888-6545
Second Address
- Mr. Carl Rodney Fisher
- 1109 Jones St
- Kennett, MO
- Zip : 63857-3824
- Fax : (573) 888-2369
- Phone : (573) 888-6545
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 1146 | MO |
National Provider Identifier
| NPI | 1013023860 |
|---|---|
| Provider Name | Mr. Carl Rodney Fisher |
| First Address | Kennett, MO 63857-3824 |
| Second Address | Kennett, MO 63857-3824 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.