Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1215600721 |
---|---|
Provider Name | Ms. Rebecca Marie Fletcher |
First Address | Bridgewater, VA 22812-9254 |
Second Address | Grottoes, VA 24441-2377 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2021 |
Last Update Date | 29/07/2021 |