Organization
JESSICA LECLERC - OASIS PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA LEE LECLERC PSY.D. (OWNER/EXECUTIVE CLINICAL DIRECTOR)
(480) 282-4237
Entity
Organization
Contact information
Practice address
1930 S ALMA SCHOOL RD. STE. A216, MESA, AZ 85210
(480) 282-4237
(623) 900-7217
Mailing address
1930 S ALMA SCHOOL RD. STE. A216, MESA, AZ 85210
(480) 282-4237
(623) 900-7217
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
4299
AZ
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
CSLG8022
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406988
—
AZ
Enumeration date
09/29/2015
Last updated
08/20/2018
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