Provider Demographics
NPI:1619102464
Name:LECARA, JOYCE T (LPC, LADC)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:T
Last Name:LECARA
Suffix:
Gender:F
Credentials:LPC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 BAYONET ST STE 304
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:CT
Mailing Address - Zip Code:06320-2600
Mailing Address - Country:US
Mailing Address - Phone:860-443-7505
Mailing Address - Fax:860-444-8895
Practice Address - Street 1:400 BAYONET STREET SUITE 304
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:CT
Practice Address - Zip Code:06320-4700
Practice Address - Country:US
Practice Address - Phone:860-443-7505
Practice Address - Fax:860-444-8895
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-22
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000428101YM0800X
CT000186101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)