| Ms Carol Ann Fisher, LCPC | |
|
3155 Olsen Dr Ste 375, San Jose, CA 95117-1688 | |
| (888) 688-9296 | |
| Not Available |
| Full Name | Ms Carol Ann Fisher |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 36 Years |
| Location | 3155 Olsen Dr Ste 375, San Jose, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740480276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180002481 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kenneth Young Center | 7416940655 | 23 |
| Entity Name | Kenneth Young Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629083241 PECOS PAC ID: 7416940655 Enrollment ID: O20041109000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Carol Ann Fisher, LCPC 1004 N Greenfield Ln, Mt Prospect, IL 60056-1334 Ph: (847) 951-2122 | Ms Carol Ann Fisher, LCPC 3155 Olsen Dr Ste 375, San Jose, CA 95117-1688 Ph: (888) 688-9296 |
Mr. Charles Alfonzo Castor-thomas Viii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2221 Enborg Ln, San Jose, CA 95128 Phone: 408-885-3227 Fax: 408-885-2063 |
Mr. Douglas Martin Hames, RAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1281 Fleming Ave, San Jose, CA 95127 Phone: 408-259-6565 |
Mei Wu, Counselor Medicare: Not Enrolled in Medicare Practice Location: 742 Cedarville Ln, San Jose, CA 95133 Phone: 408-307-2553 |
Miss Stephanie Pedro, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1340 Tully Rd, Suite 304, San Jose, CA 95122 Phone: 408-271-3900 Fax: 408-271-3909 |
Meaghan Barisone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1555 Parkmoor Ave, San Jose, CA 95128 Phone: 408-282-0402 Fax: 408-282-0400 |
Danelle L Gilmore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 Race St, San Jose, CA 95126 Phone: 408-971-9822 Fax: 408-971-9820 |
Ms. Efstathia Perivoliotis, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 N Market St # 950, San Jose, CA 95113 Phone: 408-872-9402 |