Individual
MS. DANIELLE JEANETTE LE BLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LISAC
Contact information
Practice address
3228 W SILVER SAGE LN, PHOENIX, AZ 85083-5866
(602) 290-1911
Mailing address
3228 W SILVER SAGE LN, PHOENIX, AZ 85083-5866
(602) 290-1911
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15178
AZ
101YP2500X
Professional Counselor
Primary
19021
AZ
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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