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Arica Fishback

Counselor, Mental Health in Charleston, SC. Individual provider (NPI-1).

NPI number1982155115
StatusActive
Last updated in NPPESOct 24, 2016

Details

NPI
1982155115
Entity type
Individual (NPI-1)
Name
Arica Fishback
Sex
Female
Sole proprietor
No
Enumeration date
Oct 24, 2016
Last updated
Oct 24, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health–SCYes

Practice location

2100 Charlie Hall Blvd
Charleston, SC 29414-5832

Phone 843-852-4100

Mailing address

2100 Charlie Hall Blvd
Charleston, SC 29414-5832

Phone 843-852-4100

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