Individual
LISA ANNE LEIDECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCADC
Contact information
Practice address
51 UPPER MONTCLAIR PLZ, SUITE 21, UPPER MONTCLAIR, NJ 07043-1343
(973) 568-1166
(732) 957-9119
Mailing address
13 CLAVENDON CT, MIDDLETOWN, NJ 07748-3533
(973) 568-1166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00057200
NJ
101YP2500X
Professional Counselor
37PC00020000
NJ
Other
Enumeration date
08/31/2006
Last updated
09/11/2025
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