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:
Health care specialties
Specialty | Code | License # | 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 7 months ago |
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.
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