Individual provider · Type 1 NPI

Jason M. Leclair, SAC-IT

Addiction (Substance Use Disorder) Counselor · Oak Creek, WI

NPI number 1760784128 Active

Practice location

6416 S Howell Ave
Oak Creek, WI 53154-1104

Call (414) 762-5429 Map

Fax (414) 762-9727

Mailing address

285 N Janacek Rd
Brookfield, WI 53045-6102

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16000-130 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1760784128

Jason M. Leclair, SAC-IT's National Provider Identifier is 1760784128, issued on Nov 17, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oak Creek, WI. The record was last updated on Nov 17, 2010.