Doctor Name: | MRS. DEBRA CORINE FLERLAGE |
NPI Number: | 1639537772 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC, LGADC |
License Number: | LC6980 |
Business Practice Address: | 21789 N Coral Dr Lexington Park, MD - 206535517 |
Business Phone Number: | 2402378405 |
Business Fax Number: | |
Mailing Address: | 21789 N Coral Dr, LEXINGTON PARK |
State: | MD |
Postal Code: | 206535517 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/03/2016 |
NPI Last Update Date: | 03/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC6980 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |