Individual
LESLIE MICHELLE FRERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LMHC
Contact information
Practice address
2201 FERRY ST, LAFAYETTE, IN 47904-3047
(765) 446-9898
(765) 446-9424
Mailing address
4271 SUNBURST TRL # 706, LAFAYETTE, IN 47905-4505
(765) 447-2603
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001756A
IN
Other
Enumeration date
03/17/2007
Last updated
07/08/2007
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