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NPI Code Detail

MEDICARE: RICHARD JOHN LESEGANICH LAPC

MEDICARE: RICHARD JOHN LESEGANICH LAPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorAPC010795GA

General Provider Information

NPI Number : 1134060577
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD JOHN LESEGANICH LAPC
Provider Business Mailing Address
First Line : 220 PONCE DE LEON PL UNIT 145
Second Line :
City : DECATUR
State : GA
Zip : 30030-3208
Country : US
Telephone Number : 678-338-8648
Fax Number :
Provider Business Practice Location Address
First Line : 5901 PEACHTREE DUNWOODY RD STE A-225
Second Line :
City : ATLANTA
State : GA
Zip : 30328-5382
Country : US
Telephone Number : 404-941-2183
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2026
Last Update Date : 04/01/2026

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Directions to “ RICHARD JOHN LESEGANICH LAPC” Practice Location

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