Individual
AUTUMN LUCILLE LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26731 W POINT MACKENZIE RD, WASILLA, AK 99623-8709
(907) 376-4534
(907) 376-2348
Mailing address
PO BOX 871545, WASILLA, AK 99687-1545
(907) 376-4534
(907) 376-2348
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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