Daphne Ferriera Fisher
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Gulfport, MS
NPI 1467479477 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1467479477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 1600 Broad Ave
Gulfport, MS 39501-3603 - Phone
- (228) 863-1132
- Fax
- (228) 865-1700
- NPI assigned
- Jul 16, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
1600 Broad Ave
Gulfport, MS 39501-3603
Mailing address
1600 Broad Ave
Gulfport, MS 39501-3603
Phone (228) 863-1132
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00018213 | Medicaid | MS |
Other providers in Gulfport, MS
- Bonnie Kay Fine
- Christina Fingerle
- Jeannine Michelle Finley
- Rebecca Finnemore
- Cheryl Fisher
- Kimberly Fisher
- Lakeshia Fisher
- FJP LLC
- Sarah Flagg
- Rebecca Fletcher
All providers in Gulfport, MS · Addiction (Substance Use Disorder) Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.