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NPI Profile for THAD W FISHER in CHICAGO, IL.
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Counselor |
101Y00000X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Mental Health |
101YM0800X | |||
Pastoral |
101YP1600X | |||
Professional |
101YP2500X | |||
Religious Nonmedical Practitioner |
374K00000X |
| NPI Number | 1912434051 |
|
| Status | Active | |
| Credentials | MA, M.DIV. | |
| Entity | Individual | |
| Enumeration date | 05/19/2017 | |
| Last updated | 05/19/2017 - About 9 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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THAD W FISHER
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THAD W FISHER, MA, M.DIV.