Provider Demographics
NPI:1194058040
Name:FISCHER, BRANDI LEE (LCPC)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:LEE
Last Name:FISCHER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 CEDAR WOOD CIR
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-8209
Mailing Address - Country:US
Mailing Address - Phone:406-579-2084
Mailing Address - Fax:
Practice Address - Street 1:211 SWINGLE HALL
Practice Address - Street 2:COUNSELING AND PSYCHOLOGICAL SERVICES
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59717-3180
Practice Address - Country:US
Practice Address - Phone:406-994-4531
Practice Address - Fax:406-994-2485
Is Sole Proprietor?:No
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1403101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health