Individual
LISA MARIE FLEAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
135 S PENN AVE, HARRISVILLE, WV 26362-1371
(304) 643-4005
Mailing address
135 S PENN AVE, HARRISVILLE, WV 26362-1371
(304) 210-7350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3118
WV
101YM0800X
Mental Health Counselor
Primary
850
WV
Other
Enumeration date
09/11/2023
Last updated
05/11/2026
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