Provider Demographics
NPI:1306052832
Name:FISCHER, JULIE A (MSE, LPC, NCC)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:A
Last Name:FISCHER
Suffix:
Gender:F
Credentials:MSE, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:E8172 CUT OFF RD
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:WI
Mailing Address - Zip Code:54961-9012
Mailing Address - Country:US
Mailing Address - Phone:920-982-4242
Mailing Address - Fax:
Practice Address - Street 1:E8172 CUT OFF RD
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:WI
Practice Address - Zip Code:54961-9012
Practice Address - Country:US
Practice Address - Phone:920-982-4242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2785-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional