Individual
ANNA KATHLEEN FLEIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
983 MAR DON DR, WINSTON SALEM, NC 27104-4624
(336) 923-7426
Mailing address
5015 WINSTER DR APT 101, WINSTON SALEM, NC 27106-2966
(704) 351-7692
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14114
NC
101YM0800X
Mental Health Counselor
A14114
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14114
NORTH CAROLINA BOARD OF LICENSED CLINICAL MENTAL HEALTH COUNSELORS
NC
01
—
A14114
NORTH CAROLINA BOARD OF LICENSED PROFESSIONAL COUNSELORS
NC
Enumeration date
07/30/2018
Last updated
11/04/2021
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