Mary Fischer
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Merrill, WI
NPI 1528081080 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1528081080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 11267 (WI)
- Practice address
- 120 S Mill St
Merrill, WI 54452-2534 - Phone
- (715) 536-4440
- Fax
- (715) 536-2736
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11267 | WI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melonas Counseling Services, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11267 | WI | Yes |
Addresses
Primary practice location
120 S Mill St
Merrill, WI 54452-2534
Mailing address
PO Box 146
Merrill, WI 54452-0146
Phone (715) 536-4440
Other providers in Merrill, WI
- Donald L Evans
- Eye Clinic of Wisconsin, S.C.
- Family Dentistry
- Family Foot and Ankle Clinic LLC
- Julie Fehr
- Jennifer Lind Freyer
- Mason Froeba
- Ann L Fullington
- Steven Gasper
- Susan Marie George
All providers in Merrill, WI · Addiction (Substance Use Disorder) Counselor in Wisconsin
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.