Provider Demographics
NPI:1790678613
Name:FLESCH, CHLOE
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:
Last Name:FLESCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:DANE
Mailing Address - State:WI
Mailing Address - Zip Code:53529-9793
Mailing Address - Country:US
Mailing Address - Phone:608-514-5241
Mailing Address - Fax:
Practice Address - Street 1:4785 HAYES RD STE 200
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-7364
Practice Address - Country:US
Practice Address - Phone:608-844-8473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8398-226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional