Provider Demographics
NPI:1386024503
Name:FLETCHER, LINDA (M EDUC SCHOOL COUN)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:M EDUC SCHOOL COUN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:686 ROCKFORD RD
Mailing Address - Street 2:
Mailing Address - City:MANAKIN SABOT
Mailing Address - State:VA
Mailing Address - Zip Code:23103-2128
Mailing Address - Country:US
Mailing Address - Phone:804-749-3767
Mailing Address - Fax:804-719-9419
Practice Address - Street 1:686 ROCKFORD RD
Practice Address - Street 2:
Practice Address - City:MANAKIN SABOT
Practice Address - State:VA
Practice Address - Zip Code:23103-2128
Practice Address - Country:US
Practice Address - Phone:804-749-3767
Practice Address - Fax:804-719-9419
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-03
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator