Provider Demographics
NPI:1215142518
Name:FLECHA, ROBERTO JR (LCADC)
Entity type:Individual
Prefix:MR
First Name:ROBERTO
Middle Name:
Last Name:FLECHA
Suffix:JR
Gender:M
Credentials:LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 POPPY CT
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-6876
Mailing Address - Country:US
Mailing Address - Phone:732-740-3011
Mailing Address - Fax:732-262-0707
Practice Address - Street 1:270 CHAMBERSBRIDGE RD
Practice Address - Street 2:SUITE 10
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-2805
Practice Address - Country:US
Practice Address - Phone:732-920-2700
Practice Address - Fax:732-262-0707
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00048400101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)