Provider Demographics
NPI:1689545972
Name:JOVIN-FISHER, SCARLET
Entity type:Individual
Prefix:
First Name:SCARLET
Middle Name:
Last Name:JOVIN-FISHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 SHADOWLINE DR # 502
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-4937
Mailing Address - Country:US
Mailing Address - Phone:336-681-7285
Mailing Address - Fax:
Practice Address - Street 1:241 SHADOWLINE DR # 502
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-4937
Practice Address - Country:US
Practice Address - Phone:336-681-7285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA21937101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health