Provider Demographics
NPI:1861605347
Name:FISHER, JUNE RITCHEY (LMFT)
Entity type:Individual
Prefix:MS
First Name:JUNE
Middle Name:RITCHEY
Last Name:FISHER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:JUNE
Other - Middle Name:
Other - Last Name:RITCHEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:13403 MEYER RD
Mailing Address - Street 2:
Mailing Address - City:MABELVALE
Mailing Address - State:AR
Mailing Address - Zip Code:72103-2607
Mailing Address - Country:US
Mailing Address - Phone:501-455-4979
Mailing Address - Fax:501-455-2571
Practice Address - Street 1:20400 COLONEL GLENN RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72210-5323
Practice Address - Country:US
Practice Address - Phone:501-821-5500
Practice Address - Fax:501-821-5582
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARM9802005106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist