Individual
DR. JEANMARIE LEITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Contact information
Practice address
151 CENTENNIAL AVE, SUITE 1100, PISCATAWAY, NJ 08854-3907
(732) 235-5000
Mailing address
671 HOES LN W, PISCATAWAY, NJ 08854-8021
(732) 235-5900
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701004098
VA
101YP2500X
Professional Counselor
Primary
37PC00473600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945247
—
VA
Enumeration date
12/20/2006
Last updated
10/23/2024
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