Fisher, Thad William

Fisher, Thad William is an individual health care provider with primary practice located at 6417 W Irving Park Rd , Chicago IL 60634-2437. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Nursing Service Related Providers / Religious Nonmedical Practitioner, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Fisher, Thad William can be contacted via phone (773) 777-7112.

Contact Information

Primary practice address
6417 W Irving Park Rd Chicago IL 60634-2437
Phone: (773) 777-7112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Nursing Service Related Providers / Religious Nonmedical Practitioner 374K00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1912434051
LBN Legal business name Fisher, Thad William
Credentials MA, M.DIV.
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2017
Last updated May 19th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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