MEDICARE: MR. DANIEL L FLEISCHER LPCC

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	101YP2500X	Professional Counselor	296243	KY

General Provider Information

NPI Number	:	1124742721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANIEL L FLEISCHER LPCC

Provider Business Mailing Address
First Line	:	713 MILLPOND RD STE 10
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40514-1570
Country	:	US
Telephone Number	:	859-576-9357
Fax Number	:	850-576-9357

Provider Business Practice Location Address
First Line	:	713 MILLPOND RD STE 10
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40514-1570
Country	:	US
Telephone Number	:	859-576-9357
Fax Number	:

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

Provider Enumeration Date	:	09/28/2022
Last Update Date	:	11/21/2024

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