Provider Demographics
NPI:1285062224
Name:FISHER, CYNTHIA S (LPCC)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:S
Last Name:FISHER
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4444 STATE ROUTE 321
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-8761
Mailing Address - Country:US
Mailing Address - Phone:937-623-9531
Mailing Address - Fax:
Practice Address - Street 1:6250 US 62
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-7582
Practice Address - Country:US
Practice Address - Phone:937-249-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-30
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC1100365101Y00000X
OHE1700085101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor