Provider Demographics
NPI:1578205415
Name:LE BLANC, FELICIA JEAN (MHS, LCPC)
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:JEAN
Last Name:LE BLANC
Suffix:
Gender:F
Credentials:MHS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2421 RIVEROAKS DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-3675
Mailing Address - Country:US
Mailing Address - Phone:307-660-1489
Mailing Address - Fax:
Practice Address - Street 1:1111 COBURN RD
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-6419
Practice Address - Country:US
Practice Address - Phone:406-254-2340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-45398101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health