Leclerc, Stacie L

Leclerc, Stacie L is an individual health care provider with primary practice located at 3277 White Mountain Highway , North Conway NH 03860. 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Leclerc, Stacie L can be contacted via phone (603) 356-6400.

Contact Information

Primary practice address
3277 White Mountain Highway North Conway NH 03860
Phone: (603) 356-6400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0960 New Hampshire
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 739 New Hampshire

Profile Details

NPI number 1467636167
LBN Legal business name Leclerc, Stacie L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2007
Last updated Jul 16th, 2020 - about 4 years 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1467636167 NPPES
New Hampshire MEDICAID 3111019

Popular Providers