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JEANINE LE-KREUZER, LMHC

Ambulatory Health Care Facilities Clinic/Center Mental Health (Including Community Mental Health Center)

Provider NPI: 1457905606

Organization Information:
Organization Name:  JEANINE LE-KREUZER, LMHC
Organization is not Subpart
Authorized Official:  JEANINE-TRINH  LE-KREUZER  OWNER/THERAPIST  401-235-7000

Practice Location:
3421 PAWTUCKET AVE  EAST PROVIDENCE, RI 02914 US
Tel: 401-684-0312  Fax: --

Business Mailing Address:
PO BOX 14381  EAST PROVIDENCE, RI 02914-0381 US
Tel: --  Fax: --

NPI Information:
NPI: 1457905606
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QM0801XAmbulatory Health Care Facilities
Clinic/Center
Mental Health (Including Community Mental Health Center)

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QM0801X

Type:

Classification:



Definition:



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