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NPI Code Detail

MEDICARE: JOHN FLEMING MA, LISAC

MEDICARE: JOHN FLEMING MA, LISAC
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) CounselorLIAC11855AZ

General Provider Information

NPI Number : 1871845198
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN FLEMING MA, LISAC
Provider Business Mailing Address
First Line : 2102 W BETHANY HOME RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85015-1935
Country : US
Telephone Number : 602-920-4562
Fax Number :
Provider Business Practice Location Address
First Line : 2102 W BETHANY HOME RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85015-1935
Country : US
Telephone Number : 602-920-4562
Fax Number : 602-920-4562
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2012
Last Update Date : 09/30/2025

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Directions to “ JOHN FLEMING MA, LISAC” Practice Location

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