Provider Demographics
NPI:1679451173
Name:FISHER, DARREN (MA,LMHC)
Entity type:Individual
Prefix:
First Name:DARREN
Middle Name:
Last Name:FISHER
Suffix:
Gender:M
Credentials:MA,LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8830 NE 187TH ST
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-2844
Mailing Address - Country:US
Mailing Address - Phone:206-317-9494
Mailing Address - Fax:
Practice Address - Street 1:8830 NE 187TH ST
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-2844
Practice Address - Country:US
Practice Address - Phone:206-317-9494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61630985101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health