Individual
MR. CHRISTOPHER BLAKE LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
261 HIGHWAY 132, MANGHAM, LA 71259-5269
(318) 248-2807
(318) 248-2967
Mailing address
130 DESIARD ST, SUITE 355, MONROE, LA 71201-7319
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5805
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2371401
—
LA
Enumeration date
01/21/2009
Last updated
01/15/2016
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