Individual
HEATHER J. HUMPHREY-LECLAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, LADC
Contact information
Practice address
38 PARK PL, BRATTLEBORO, VT 05301-2827
(802) 345-7674
(802) 257-7377
Mailing address
38 PARK PL, BRATTLEBORO, VT 05301-2827
(802) 345-7674
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000551
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
151.0124491
VT
101YM0800X
Mental Health Counselor
Primary
068.0083833
VT
Other
Enumeration date
09/08/2011
Last updated
10/09/2021
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