Individual provider · Type 1 NPI
Myra Louise Fleetwood, MA
Addiction (Substance Use Disorder) Counselor · Lafayette, IN
NPI number
1326727637
Active
Practice location
2600 Greenbush St
Lafayette, IN 47904-2477
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 87001414A (IN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1326727637
Myra Louise Fleetwood, MA's National Provider Identifier is 1326727637, issued on Jul 13, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lafayette, IN. The record was last updated on Jul 13, 2023.