Individual
MRS. LESLIE MARIANNE DEBLASIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LCADC
Contact information
Practice address
18 SYCAMORE AVE STE 2, HO HO KUS, NJ 07423-1500
(201) 540-8826
Mailing address
5 SICOMAC ROAD, P.O. BOX 162, NORTH HALEDON, NJ 07508
(973) 495-6637
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00181600
NJ
101YP2500X
Professional Counselor
Primary
37PC00568700
NJ
Other
Enumeration date
11/21/2011
Last updated
03/30/2021
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