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Individual
MS. LESHAE M RICE
Active
Individual
MS. LESHAE M RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001028
CT
101YP2500X
Professional Counselor
6104
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225350416
—
CT
Enumeration date
02/16/2010
Last updated
01/19/2023
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