| Legacy Life Counseling & Consulting Inc | |
|
420 N El Camino Real Oceanside CA 92058-7868 | |
| (760) 212-4311 | |
| Not Available |
| Full Name | Legacy Life Counseling & Consulting Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 420 N El Camino Real, Oceanside, California |
| Authorized Official Name and Position | Shannon Deon Morell (CEO) |
| Authorized Official Contact | 7602124311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Life Counseling & Consulting Inc 825 College Blvd Ste 102-336 Oceanside CA 92057-6263 Ph: (760) 212-4311 | Legacy Life Counseling & Consulting Inc 420 N El Camino Real Oceanside CA 92058-7868 Ph: (760) 212-4311 |
| NPI Number | 1255930533 |
|---|---|
| Provider Enumeration Date | 10/19/2020 |
| Last Update Date | 10/19/2020 |
| Certification Date | 10/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255930533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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