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General NPI Number Information
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NPI Number | 1497000525
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Entity Type | Individual
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Provider Name | CASSANDRA M LECLERC MBA,LMFT,LADC1,MLADC
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Gender | Female
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Dates
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Enumeration Date | 07/15/2012
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 8 MADISON DR
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City | HUDSON
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State | NH
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Zip | 03051-3823
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Country | US
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Telephone | 603-703-4079
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Fax | 978-396-4384
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Provider Business Mailing Address
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Address Line | 265 CHELMSFORD ST STE 7
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City | CHELMSFORD
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State | MA
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Zip | 01824-2335
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Country | US
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Telephone | 603-703-4079
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Fax | 978-396-4384
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1005
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT10000048
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License Number State | MA
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 2118
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License Number State | NH
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Taxonomy #5
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 20261
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License Number State | MA
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