Provider Demographics
NPI:1780306613
Name:FLETCHER, EMILY LOIS (LPC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:LOIS
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:598 LOOMIS ST
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-3991
Mailing Address - Country:US
Mailing Address - Phone:860-307-6337
Mailing Address - Fax:
Practice Address - Street 1:598 LOOMIS ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-3991
Practice Address - Country:US
Practice Address - Phone:860-307-6337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-16
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT46.005796101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health