Individual
MARK FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
418 W KALAMAZOO AVE, KALAMAZOO, MI 49007-3334
(269) 548-7658
Mailing address
418 W KALAMAZOO AVE, KALAMAZOO, MI 49007-3334
(269) 548-7658
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401017176
MI
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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