| Doctor Name: | MISS CHARLOTTE AMBER FLETCHER |
| NPI Number: | 1184096422 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCAS-R |
| License Number: | 22238 |
| Business Practice Address: | 414 Hospital Dr Clyde, NC - 287218026 |
| Business Phone Number: | 8284540560 |
| Business Fax Number: | 8284548009 |
| Mailing Address: | 414 Hospital Dr, CLYDE |
| State: | NC |
| Postal Code: | 287218026 |
| Phone Number: | 8284540560 |
| Fax Number: | 8284548009 |
| NPI Enumeration Date: | 10/27/2015 |
| NPI Last Update Date: | 10/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 22238 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |