Fisher, Adra Lee

Fisher, Adra Lee is an individual health care provider with primary practice located at 415 Gibson Ln , Richmond KY 40475-2577. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Fisher, Adra Lee can be contacted via phone (859) 253-1686.

Contact Information

Primary practice address
415 Gibson Ln Richmond KY 40475-2577
Fax: (859) 254-2743
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1061

Profile Details

NPI number 1043368525
LBN Legal business name Fisher, Adra Lee
Credentials LPCA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Apr 9th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043368525 NPPES
Kentucky MEDICAID 30615058

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