Provider Demographics
NPI:1093721854
Name:LEBLANC, JEANNE MARIE (LP,LMHC)
Entity Type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:MARIE
Last Name:LEBLANC
Suffix:
Gender:F
Credentials:LP,LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:373 BLEECKER ST
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-3212
Mailing Address - Country:US
Mailing Address - Phone:212-675-4840
Mailing Address - Fax:212-243-0936
Practice Address - Street 1:373 BLEECKER ST
Practice Address - Street 2:SUITE 1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-3212
Practice Address - Country:US
Practice Address - Phone:212-675-4840
Practice Address - Fax:212-243-0936
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000375101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health