| Doctor Name: | MRS. MICHELE FLETCHER |
| NPI Number: | 1316134240 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW-R, CASAC |
| License Number: | 11577 |
| Business Practice Address: | 3 Tioga Blvd Suite 5 Apalachin, NY - 137324150 |
| Business Phone Number: | 6077854156 |
| Business Fax Number: | 6076254438 |
| Mailing Address: | 3 Tioga Blvd, Suite 5 APALACHIN |
| State: | NY |
| Postal Code: | 137324150 |
| Phone Number: | 6077854156 |
| Fax Number: | 6076254438 |
| NPI Enumeration Date: | 09/25/2007 |
| NPI Last Update Date: | 09/25/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 11577 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |