Individual
TERRY JOHN LEGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
16 12TH AVE S STE 110, NAMPA, ID 83651-3962
(208) 515-7661
Mailing address
1515 SPRUCE CREEK LOOP, NAMPA, ID 83686-8988
(208) 989-7279
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-7326
ID
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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