Individual
AMANDA JEANNE LEGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ADC
Contact information
Practice address
3390 N BERKELEY LAKE RD NW STE 100, DULUTH, GA 30096-3006
(470) 704-5050
Mailing address
3250 SWEETWATER RD APT 1605, LAWRENCEVILLE, GA 30044-6519
(423) 794-6525
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CATC-I #3025
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
Other
Enumeration date
07/31/2013
Last updated
06/16/2023
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