| Doctor Name: | MS. MARY JO FLEMING |
| NPI Number: | 1013314988 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. PROFESSIONAL CO |
| License Number: | |
| Business Practice Address: | 919 12th Place Ste 13 Recovery In The Pines Prescott, AZ - 86301 |
| Business Phone Number: | 9282272967 |
| Business Fax Number: | |
| Mailing Address: | 919 12th Place Ste 13, Recovery In The Pines PRESCOTT |
| State: | AZ |
| Postal Code: | 86301 |
| Phone Number: | 9282272967 |
| Fax Number: | 9282272968 |
| NPI Enumeration Date: | 11/20/2014 |
| NPI Last Update Date: | 11/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |