Provider Demographics
NPI:1710096680
Name:LEBLANC, TROY (LMHC)
Entity Type:Individual
Prefix:MR
First Name:TROY
Middle Name:
Last Name:LEBLANC
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-3129
Mailing Address - Country:US
Mailing Address - Phone:978-870-4393
Mailing Address - Fax:978-630-3226
Practice Address - Street 1:486 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440-3011
Practice Address - Country:US
Practice Address - Phone:978-870-4393
Practice Address - Fax:978-630-3226
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5210174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist