Doctor Name: | ANNE LEGGETT |
NPI Number: | 1114086964 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 0701004101 |
Business Practice Address: | 554 N Main St Suite 211 South Boston, VA - 245923206 |
Business Phone Number: | 4345728000 |
Business Fax Number: | |
Mailing Address: | Po Box 102, SOUTH BOSTON |
State: | VA |
Postal Code: | 245920102 |
Phone Number: | 4345728000 |
Fax Number: | |
NPI Enumeration Date: | 12/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0701004101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |