JASON M. LECLAIR

OAK CREEK, WI
NPI1760784128
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16000-130)
Enumeration Date2010-11-17
Last Update Date2010-11-17
Business Address
-- JASON M. LECLAIR SAC-IT
6416 S HOWELL AVE
OAK CREEK, WI 53154-1104
Phone number: 414-762-5429
Mailing Address
-- JASON M. LECLAIR SAC-IT
285 N JANACEK RD
BROOKFIELD, WI 53045-6102
Phone number: 262-641-9050