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Individual

MR. HAROLD C LEBLANC JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
2605 2ND AVE S, #9C, MINNEAPOLIS, MN 55408-1702
(612) 360-0833
Mailing address
PO BOX 723, MOOSE LAKE, MN 55767-0723
(612) 360-0833

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00781
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CC00537
LICENSED PROFESSIONAL CLINICAL COUNSELOR (LPCC)
MN
Enumeration date
11/30/2010
Last updated
04/27/2013
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