| Doctor Name: | MR. JOEL RICHARD FLETCHER |
| NPI Number: | 1538105606 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M ED |
| License Number: | 3552526004 |
| Business Practice Address: | 4250 West 5415 South Kearns, UT - 84118 |
| Business Phone Number: | 8019694181 |
| Business Fax Number: | 8019691291 |
| Mailing Address: | 467 East 2760 N, LEHI |
| State: | UT |
| Postal Code: | 84043 |
| Phone Number: | 8017681041 |
| Fax Number: | |
| NPI Enumeration Date: | 06/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 3552526004 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |