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General NPI Number Information
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NPI Number | 1013671114
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Entity Type | Individual
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Provider Name | SIERRA LEBLANC MA, AMFT
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Gender | Female
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Dates
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Enumeration Date | 10/25/2021
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Last Update Date | 10/25/2021
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Provider Practice Location Address
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Address Line | 850 COLORADO BLVD STE 202
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City | LOS ANGELES
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State | CA
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Zip | 90041-1733
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Country | US
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Telephone | 323-457-6737
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11382
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City | ZEPHYR COVE
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State | NV
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Zip | 89448-3382
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Country | US
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Telephone | 907-982-5124
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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