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Contact Information

DACIA L ANTISTE FISHER, LCSW
5 4TH AVE E
POLSON, MT59860-2117
 Phone: 406-745-3525
 Fax: 406-745-3529
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for DACIA L ANTISTE FISHER · (Female)

NPI Number 1104255637
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 11/05/2013
Last updated 03/14/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • MT License # 1930
  • MT License # BBH-LCSW-LIC-30076
  • MT License # LAC-LAC-LIC-1930
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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