Provider Demographics
NPI:1730527169
Name:FISHER, ABBIE KRISTINE (MA)
Entity type:Individual
Prefix:
First Name:ABBIE
Middle Name:KRISTINE
Last Name:FISHER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. 38-3385
Mailing Address - Street 2:UNITED STATES, COMMONWEALTHS AND TERRITORIES
Mailing Address - City:WAIKOLOA
Mailing Address - State:HI
Mailing Address - Zip Code:96738
Mailing Address - Country:US
Mailing Address - Phone:808-987-7243
Mailing Address - Fax:
Practice Address - Street 1:234 WAIANUENUE AVE., SUITE 215
Practice Address - Street 2:UNITED STATES, COMMONWEALTHS AND TERRITORIES
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720
Practice Address - Country:US
Practice Address - Phone:808-987-7243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-07
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health