Individual
JOAN LEVESQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAC
Contact information
Practice address
24 JOLIET ST, DYER, IN 46311-1705
(219) 322-5747
(219) 864-2282
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4284
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87000013A
IN
Other
Enumeration date
10/10/2018
Last updated
03/20/2021
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