Organization
LECLAIR BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN WILDER LECLAIR PH.D. (PRINCIPAL)
(207) 428-3055
Entity
Organization
Contact information
Practice address
25 PLEASANT VIEW DR, GRAY, ME 04039-9572
(207) 428-3055
(207) 428-3069
Mailing address
PO BOX 1140, GRAY, ME 04039-1140
(207) 428-3055
(207) 428-3069
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CC 129
ME
101YM0800X
Mental Health Counselor
CC129
ME
101YP2500X
Professional Counselor
CC 129
ME
103T00000X
Psychologist
PS 743
ME
103TA0700X
Adult Development & Aging Psychologist
PS 743
ME
103TC0700X
Clinical Psychologist
Primary
PS 743
ME
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PS743
ME
103TP2701X
Group Psychotherapy Psychologist
PS 743
ME
103TR0400X
Rehabilitation Psychologist
PS 743
ME
Other
Enumeration date
04/19/2007
Last updated
06/14/2012
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