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Individual

MS. EMILY JANE FLEMING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
2904 SUDDERTH DR, RUIDOSO, NM 88345
(575) 491-3300
(844) 876-6786
Mailing address
2904 SUDDERTH DR, RUIDOSO, NM 88345-6338
(575) 491-3300
(844) 876-6786

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0145681
NM
101YM0800X
Mental Health Counselor
0177801
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1770941486
GROUP NPI
NM
05
18677037
NM
05
23700386
NM
Enumeration date
01/19/2012
Last updated
09/27/2018
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