person
Raymond R Leclair, MFCC
Mental Health Counselor in Santa Cruz, California
NPI 1295841906

Raymond R Leclair is a Mental Health Counselor based in Santa Cruz, CA and is specialized in Mental Health. Raymond R Leclair practices in Santa Cruz, CA and has the professional credentials of MFCC. The NPI Number for Raymond R Leclair is 1295841906 and holds a License No. MFT4717 (California).

The current practice location address for Raymond R Leclair is 104 S Park Way, Santa Cruz, CA and can be reached out via phone at 831-427-2919 and via fax at 831-427-2919.

Location: 104 S Park Way, Santa Cruz, CA, 95062-2202
person
Provider Profile Details
NPI Number
1295841906
Provider Name
Raymond R Leclair
Credential
MFCC
Provider Entity Type
Individual
Gender
Male
Address
104 S Park Way, Santa Cruz, CA, 95062-2202
Phone Number
831-427-2919
Fax Number
831-427-2919
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
066811 01 CA MANAGED HEALTH NETWORK
institution
Provider Business Practice Location Address Details
Address
104 S Park Way
City
State
Zip
95062-2202
Phone Number
831-427-2919
Fax Number
831-427-2919
person
Provider Business Mailing Address Details
Address
104 S Park Way
City
State
Zip
95062-2202
Phone Number
831-427-2919
Fax Number
831-427-2919
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MFT4717 (New York)
Definition
Definition to come...
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