Alice Fletcher

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · McComb, MS

NPI 1386038156 · NPPES record last updated Mar 19, 2015

Key facts

NPI
1386038156
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
1701 White St
McComb, MS 39648-2711
Phone
(601) 249-4217
Fax
(601) 249-4234
NPI assigned
Mar 19, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

1701 White St
McComb, MS 39648-2711

Mailing address

1701 White St
McComb, MS 39648-2711
Phone (601) 249-4217

Other providers in McComb, MS

All providers in McComb, MS · Addiction (Substance Use Disorder) Counselor in Mississippi

Sources for this page

Verify at the official NPI Registry.