MEDICARE: MRS. CASSANDRA M LECLERC MBA,LMFT,LADC1,MLADC

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
1	106H00000X	Marriage & Family Therapist	1005	NH
2	106H00000X	Marriage & Family Therapist	LMFT10000048	MA
3	101Y00000X	Counselor
4	101YA0400X	Addiction (Substance Use Disorder) Counselor	2118	NH
5	101YA0400X	Addiction (Substance Use Disorder) Counselor	20261	MA

General Provider Information

NPI Number	:	1497000525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CASSANDRA M LECLERC MBA,LMFT,LADC1,MLADC

Provider Business Mailing Address
First Line	:	265 CHELMSFORD ST STE 7
Second Line	:
City	:	CHELMSFORD
State	:	MA
Zip	:	01824-2335
Country	:	US
Telephone Number	:	603-703-4079
Fax Number	:	978-396-4384

Provider Business Practice Location Address
First Line	:	8 MADISON DR
Second Line	:
City	:	HUDSON
State	:	NH
Zip	:	03051-3823
Country	:	US
Telephone Number	:	603-703-4079
Fax Number	:	978-396-4384

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2012
Last Update Date	:	12/03/2025

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