Individual provider · Type 1 NPI
Lisa Anne Leidecker, LPC, LCADC
Addiction (Substance Use Disorder) Counselor · Upper Montclair, NJ
NPI number
1386755122
Active
Practice location
51 Upper Montclair Plz, Suite 21
Upper Montclair, NJ 07043-1343
Fax (732) 957-9119
Mailing address
13 Clavendon Ct
Middletown, NJ 07748-3533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37LC00057200 (NJ) |
| Professional Counselor | 101YP2500X | 37PC00020000 (NJ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1386755122
Lisa Anne Leidecker, LPC, LCADC's National Provider Identifier is 1386755122, issued on Aug 31, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Upper Montclair, NJ. The record was last updated on Sep 11, 2025.