Organization
LEGACY LIFE COUNSELING & CONSULTING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON DEON MORELL LMFT (CEO)
(760) 212-4311
Entity
Organization
Contact information
Practice address
420 N EL CAMINO REAL, OCEANSIDE, CA 92058-7868
(760) 212-4311
Mailing address
825 COLLEGE BLVD STE 102-336, OCEANSIDE, CA 92057-6263
(760) 212-4311
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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