Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jill R Fisher, SUDCC

Individual provider Technician · NPI 1316434202

Jill R Fisher, SUDCC is a Technician in Modesto, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

500 N 9th St
Modesto, CA 95350-5814
Phone: (209) 525-7412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Technician Taxonomy 374700000X · Licence R1235910816 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence R1235910816 (CA)

Record details

NPI number1316434202
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDCC
Sole proprietorNo
NPI enumeratedApril 17, 2018
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023

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