Provider Demographics
NPI:1679637276
Name:MARTINO-FLEMING, VANESSA ANNE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:VANESSA
Middle Name:ANNE
Last Name:MARTINO-FLEMING
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:577 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:WRENTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02093-1536
Mailing Address - Country:US
Mailing Address - Phone:508-369-3127
Mailing Address - Fax:
Practice Address - Street 1:195 MAIN ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-1955
Practice Address - Country:US
Practice Address - Phone:774-307-9079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2017-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6127101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health