Individual
MRS. VONDY C FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCPC
Contact information
Practice address
504 W ATLANTA ST, BROKEN ARROW, OK 74012-7004
(702) 907-0741
(539) 367-5088
Mailing address
2720 N 16TH ST, BROKEN ARROW, OK 74012-2860
(702) 907-0741
(539) 367-5088
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10010
OK
103K00000X
Behavior Analyst
CI0334
NV
103K00000X
Behavior Analyst
CP1269
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145600645
—
NV
Enumeration date
02/14/2018
Last updated
08/13/2021
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