Individual
DIANA LUCAS FLEMMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
180.011100
IL
101YP2500X
Professional Counselor
001939
CT
101YP2500X
Professional Counselor
Primary
180.011100
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001939
LICENSED PROFESSIONAL COUNSELOR
CT
01
—
180.011100
LICENSED CLINICAL PROFESSIONAL COUNSELOR
IL
Enumeration date
11/26/2018
Last updated
02/24/2021
Update your record
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