| Doctor Name: | MRS. JUDY FLETCHER |
| NPI Number: | 1235250739 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC LCSW |
| License Number: | 000302 |
| Business Practice Address: | 1102 Edgewater Pt Lake Saint Louis, MO - 633672906 |
| Business Phone Number: | 6366256610 |
| Business Fax Number: | 3142912122 |
| Mailing Address: | 631 Woodchuck Ln, LAKE SAINT LOUIS |
| State: | MO |
| Postal Code: | 633672101 |
| Phone Number: | 6366251397 |
| Fax Number: | 3142912122 |
| NPI Enumeration Date: | 04/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 000302 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |