Individual
MR. JUSTIN A FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC, NCC
Contact information
Practice address
323 E GRAND ST, SPRINGFIELD, MO 65807-1447
(417) 761-5600
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2018044297
MO
101YP2500X
Professional Counselor
Primary
2018044297
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14421288
CAQH
—
05
—
490076902
—
MO
Enumeration date
02/07/2019
Last updated
09/09/2025
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