Individual
MRS. IVANA JEANNE LECLERC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,LPCR
Contact information
Practice address
1064 LASKIN RD STE 14C, VIRGINIA BEACH, VA 23451-6337
(757) 233-1500
Mailing address
6014 EDGELAKE DR, VIRGINIA BEACH, VA 23464-4905
(570) 800-3025
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0704017114
VA
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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