MEDICARE: PATRICIA FLANCHER

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

General Provider Information

NPI Number	:	1730722943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA FLANCHER

Provider Business Mailing Address
First Line	:	8410 SUTTERFIELD DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-6202
Country	:	US
Telephone Number	:	352-279-5640
Fax Number	:

Provider Business Practice Location Address
First Line	:	8410 SUTTERFIELD DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-6202
Country	:	US
Telephone Number	:	352-279-5640
Fax Number	:

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

Provider Enumeration Date	:	10/21/2019
Last Update Date	:	10/21/2019

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Directions to “ PATRICIA FLANCHER ” Practice Location

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