Provider Demographics
NPI:1497000525
Name:LECLERC, CASSANDRA M (MA, MBA, LADC-1)
Entity Type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:M
Last Name:LECLERC
Suffix:
Gender:F
Credentials:MA, MBA, LADC-1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 MADISON DR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-3823
Mailing Address - Country:US
Mailing Address - Phone:603-703-4079
Mailing Address - Fax:
Practice Address - Street 1:8 MADISON DR
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051-3823
Practice Address - Country:US
Practice Address - Phone:603-703-4079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-15
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor