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Individual
JULIE A FLECK
Active
Individual
JULIE A FLECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
BBH-LAC-LIC-64333
MT
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-304
MT
106H00000X
Marriage & Family Therapist
BBH-LMFT-LIC-38855
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000502294
—
MT
Enumeration date
09/25/2007
Last updated
02/25/2025
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