Provider Demographics
NPI:1881282994
Name:LECZA, BERNADETTE MARIE (LPC)
Entity type:Individual
Prefix:
First Name:BERNADETTE
Middle Name:MARIE
Last Name:LECZA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BERNADETTE
Other - Middle Name:
Other - Last Name:LECZA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:32 PARK PL
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:CT
Mailing Address - Zip Code:06422-3413
Mailing Address - Country:US
Mailing Address - Phone:860-716-2153
Mailing Address - Fax:
Practice Address - Street 1:32 PARK PL
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:CT
Practice Address - Zip Code:06422-3413
Practice Address - Country:US
Practice Address - Phone:860-716-2153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-05
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3675101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty