National Provider Identifier

Kristen Rackl Fisher, LPN, BS, CASAC

Kristen Rackl Fisher, LPN, BS, CASAC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Warsaw, NY and a listed phone number of (585) 786-0220.

NPI 1609044866Warsaw, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1609044866
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
February 11, 2008
Last Updated
January 27, 2011

Practice Location

  • 34 N Main St
  • Warsaw, NY 14569-1326

Phone: (585) 786-0220

Mailing Address

  • 227 Thorn Ave
  • Orchard Park, NY 14127-2600

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1609044866
Entity Type
Individual
Last Name
Fisher
First Name
Kristen
Middle Name
Rackl
Name Prefix
Mrs.
Credential
LPN, BS, CASAC
Provider Other Last Name
Rackl
Provider Other First Name
Kristen
Provider Other Middle Name
M
Provider Other Name Prefix Text
Miss
Provider Other Credential Text
LPN, BS
Provider Other Last Name Type Code
1
Mailing Street Address
227 Thorn Ave
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-2600
Mailing Country
US
Mailing Phone
(716) 662-2040
Mailing Fax
(716) 662-0019
Practice Street Address
34 N Main St
Practice City
Warsaw
Practice State
NY
Practice ZIP Code
14569-1326
Practice Country
US
Practice Phone
(585) 786-0220
Practice Fax
(585) 786-3631
Enumeration Date
February 11, 2008
Last Updated
January 27, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X), Licensed Practical Nurse (164W00000X)