SHANNON JACOB LEGGE NPI 1619649357

NPI Information

NPI: 1619649357
Provider Name: SHANNON JACOB LEGGE
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1757 INDIAN WOOD CIR
MAUMEE, OH
ZIP 43537
Phone: (866) 688-6917
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Shannon Jacob Legge is a counselor in Maumee, OH. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Shannon Jacob Legge NPI is 1619649357. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1757 INDIAN WOOD CIR
MAUMEE, OH
ZIP 43537-009
Phone: (866) 688-6917

The enumeration date for this NPI number is 9/30/2021 and was last updated on 9/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		S.2102022-TRNE	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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