Provider Demographics
NPI:1043918030
Name:LEBLANC, DANICA JOYCE (LPCC)
Entity Type:Individual
Prefix:
First Name:DANICA
Middle Name:JOYCE
Last Name:LEBLANC
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4562 CONTINENTAL HTS APT 205
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80924-1247
Mailing Address - Country:US
Mailing Address - Phone:719-212-4073
Mailing Address - Fax:
Practice Address - Street 1:3210 E WOODMEN RD STE 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-3591
Practice Address - Country:US
Practice Address - Phone:719-212-4073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0020262101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health