Individual
STACIE L LECLERC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
379 WHITE MOUNTAIN HWY, CONWAY, NH 03818-4206
(603) 356-6400
Mailing address
286 TOWN HALL RD, INTERVALE, NH 03845-6108
(603) 356-6400
(603) 447-8893
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0960
NH
101YM0800X
Mental Health Counselor
Primary
739
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3111019
—
NH
Enumeration date
12/18/2007
Last updated
01/30/2026
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