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General NPI Number Information
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NPI Number | 1730851783
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Entity Type | Individual
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Provider Name | KRISTA M LEBLANC LMHC, LPCC, LCMHC
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Gender | Female
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Dates
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Enumeration Date | 09/29/2021
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 5994 SENTINEL RD
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City | LAKE PLACID
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State | NY
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Zip | 12946-3500
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Country | US
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Telephone | 518-578-5323
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Fax |
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Provider Business Mailing Address
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Address Line | 5994 SENTINEL RD
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City | LAKE PLACID
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State | NY
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Zip | 12946-3500
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 14252602-6004
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 8209
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 12007
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 009200
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 21756
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License Number State | NC
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