| Michelle Lesher Llc | |
|
145 Main Ave Passaic NJ 07055-5452 | |
| (862) 686-3186 | |
| Not Available |
| Full Name | Michelle Lesher Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 145 Main Ave, Passaic, New Jersey |
| Authorized Official Name and Position | Michelle Lesher (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8626863186 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Lesher Llc 22 Leitch Pl Passaic NJ 07055-4411 Ph: () - | Michelle Lesher Llc 145 Main Ave Passaic NJ 07055-5452 Ph: (862) 686-3186 |
| NPI Number | 1235557539 |
|---|---|
| Provider Enumeration Date | 04/03/2014 |
| Last Update Date | 04/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235557539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00163000 (New Jersey) | Primary |
| 101YP2500X | Counselor - Professional | 44SC05505200 (New Jersey) | Secondary |
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