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NPI Code Detail

MEDICARE: MS. DONNA FLETCHER PHD,LCAS, CCS

MEDICARE: MS. DONNA FLETCHER PHD,LCAS, CCS
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
1101YA0400XAddiction (Substance Use Disorder) Counselor1315NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1LIC # 1315OTHERNCLICENSE

General Provider Information

NPI Number : 1467607192
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DONNA FLETCHER PHD,LCAS, CCS
Provider Business Mailing Address
First Line : PO BOX 1536
Second Line :
City : MORGANTON
State : NC
Zip : 28680-1536
Country : US
Telephone Number : 828-437-3000
Fax Number : 828-437-4999
Provider Business Practice Location Address
First Line : 301 E MEETING ST
Second Line :
City : MORGANTON
State : NC
Zip : 28655-3593
Country : US
Telephone Number : 828-437-3000
Fax Number : 828-437-4999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2008
Last Update Date : 06/25/2021

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