Provider Demographics
NPI:1730245721
Name:FISER, CATHERINE W (CADC II)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:W
Last Name:FISER
Suffix:
Gender:F
Credentials:CADC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:454 VIA DEL PLANO
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94949-5969
Mailing Address - Country:US
Mailing Address - Phone:415-382-8697
Mailing Address - Fax:
Practice Address - Street 1:800 SERENO DR
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94589-2411
Practice Address - Country:US
Practice Address - Phone:707-651-2646
Practice Address - Fax:707-651-2608
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA3609396101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)