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Individual
MR. MICAH FLEITMAN
Active
Individual
MR. MICAH FLEITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701009645
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
0701009645
VA
101YM0800X
Mental Health Counselor
0701009645
VA
101YP2500X
Professional Counselor
Primary
0701009645
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164293403
NPI-2 ORGANIZATION
VA
01
—
1285392837
NPI-2 ORGANIZATION
VA
Enumeration date
08/19/2020
Last updated
01/17/2024
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