| Doctor Name: | MR. GARY JOHN LEBLANC |
| NPI Number: | 1134245848 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA |
| License Number: | |
| Business Practice Address: | 31 Lake St Gardner, MA - 014403879 |
| Business Phone Number: | 9786329400 |
| Business Fax Number: | |
| Mailing Address: | 6 Old Southbridge Rd, OXFORD |
| State: | MA |
| Postal Code: | 015402018 |
| Phone Number: | 5089873925 |
| Fax Number: | |
| NPI Enumeration Date: | 03/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |