Doctor Name: | MR. STANLEY HOUSTON FLEMING |
NPI Number: | 1376682351 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCPC |
License Number: | 341 |
Business Practice Address: | 30 Round Butte Road West Ronan, MT - 59864 |
Business Phone Number: | 4066764932 |
Business Fax Number: | |
Mailing Address: | Po Box 503, RONA |
State: | MT |
Postal Code: | 598640503 |
Phone Number: | 4066764932 |
Fax Number: | |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 341 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |