Provider Demographics
NPI:1962926188
Name:FLETCHER, LASHONNA DENISE (LPC)
Entity type:Individual
Prefix:
First Name:LASHONNA
Middle Name:DENISE
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 KIRKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MS
Mailing Address - Zip Code:39056-5970
Mailing Address - Country:US
Mailing Address - Phone:601-913-9800
Mailing Address - Fax:
Practice Address - Street 1:201 KIRKWOOD DR
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MS
Practice Address - Zip Code:39056-5970
Practice Address - Country:US
Practice Address - Phone:601-913-9800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS2200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional