Provider Demographics
NPI:1366698276
Name:FLETCHER, DONNA MARIA (MA, NCC, CCDP, LPC)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:MARIA
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:MA, NCC, CCDP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 BARRINGER RD
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-2012
Mailing Address - Country:US
Mailing Address - Phone:203-329-1417
Mailing Address - Fax:
Practice Address - Street 1:45 BARRINGER RD
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820-2012
Practice Address - Country:US
Practice Address - Phone:203-329-1417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001680101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional