Individual
MR. KIM M FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.DIV.
Contact information
Practice address
2200 FORT ROOTS DR, N LITTLE ROCK, AR 72114-1709
(501) 257-1673
(501) 257-1671
Mailing address
112 SHAFER TRL, AUSTIN, AR 72007-9210
(501) 941-2226
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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