MEDICARE: KAITLIN FLESCH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	5399	MN

General Provider Information

NPI Number	:	1164932505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLIN FLESCH

Provider Business Mailing Address
First Line	:	211 W 4TH ST
Second Line	:
City	:	WINONA
State	:	MN
Zip	:	55987-3122
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3338 19TH ST NW STE 101
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55901-6781
Country	:	US
Telephone Number	:	507-218-8382
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2017
Last Update Date	:	06/03/2026

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Directions to “ KAITLIN FLESCH ” Practice Location

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