Individual
NERISSA A LEGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
24100 SOUTHFIELD RD STE 204, SOUTHFIELD, MI 48075-2851
(248) 242-5545
Mailing address
9517 LAKESIDE DR, YPSILANTI, MI 48197-3033
(734) 431-8503
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401016088
MI
101YP2500X
Professional Counselor
Primary
6401019141
MI
Other
Enumeration date
07/12/2017
Last updated
07/21/2022
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