Doctor Name: | BROOKE ANN FLEMING |
NPI Number: | 1073769667 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LMFT |
License Number: | |
Business Practice Address: | 2705 Bunker Lake Blvd Nw Suite 100 Andover, MN - 553043784 |
Business Phone Number: | 7634829598 |
Business Fax Number: | 6122356447 |
Mailing Address: | 2705 Bunker Lake Blvd Nw, Suite 100 ANDOVER |
State: | MN |
Postal Code: | 553043784 |
Phone Number: | 7634829598 |
Fax Number: | 6122356447 |
NPI Enumeration Date: | 08/14/2008 |
NPI Last Update Date: | 01/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |