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NPI Code Detail

MEDICARE: JANELLE M. FLECK PC

MEDICARE: JANELLE M. FLECK PC
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
1101YM0800XMental Health CounselorC0500347OH
2101YP2500XProfessional Counselor11745NC

General Provider Information

NPI Number : 1689894446
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANELLE M. FLECK PC
Provider Business Mailing Address
First Line : 175 W FRANKLIN BLVD
Second Line :
City : GASTONIA
State : NC
Zip : 28052-4145
Country : US
Telephone Number : 704-865-3525
Fax Number : 704-865-3520
Provider Business Practice Location Address
First Line : 175 W FRANKLIN BLVD
Second Line :
City : GASTONIA
State : NC
Zip : 28052-4145
Country : US
Telephone Number : 704-865-3525
Fax Number : 704-865-3520
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2007
Last Update Date : 08/10/2015

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Directions to “ JANELLE M. FLECK PC” Practice Location

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