Fagerstrom, Leigh

Fagerstrom, Leigh is an sole proprietor health care provider with primary practice located at 104 Bayard St , New Brunswick NJ 08901-2389. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Fagerstrom, Leigh can be contacted via phone (732) 847-2869.

Contact Information

Primary practice address
104 Bayard St New Brunswick NJ 08901-2389
Phone: (732) 847-2869
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1730805110
LBN Legal business name Fagerstrom, Leigh
Credentials LCSW, LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2022
Last updated Apr 23rd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers