Doctor Name: | DAWN LEGLER |
NPI Number: | 1013317320 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 324 E Railroad Ave Ste 500 Fort Morgan, CO - 807013144 |
Business Phone Number: | 9703801160 |
Business Fax Number: | 9708670524 |
Mailing Address: | 324 E Railroad Ave Ste 500, FORT MORGAN |
State: | CO |
Postal Code: | 807013144 |
Phone Number: | 9703801160 |
Fax Number: | 9708670524 |
NPI Enumeration Date: | 08/25/2014 |
NPI Last Update Date: | 08/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |