Individual
CHRIS LEGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7925 S BROADWAY AVE STE 820, TYLER, TX 75703-5255
(903) 561-8955
Mailing address
15974 LEXIE LN, FLINT, TX 75762-2805
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
15382
TX
Other
Enumeration date
01/20/2019
Last updated
01/20/2019
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