Provider Demographics
NPI:1124742721
Name:FLEISCHER, DANIEL L (LPCC)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:L
Last Name:FLEISCHER
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 MILLPOND RD STE 10
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40514-1570
Mailing Address - Country:US
Mailing Address - Phone:859-576-9357
Mailing Address - Fax:850-576-9357
Practice Address - Street 1:713 MILLPOND RD STE 10
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40514-1570
Practice Address - Country:US
Practice Address - Phone:859-576-9357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-28
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY296243101YP2500X
KY281334101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional