Individual
CARMEN LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CG 60545039
WA
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/30/2015
Last updated
06/10/2015
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