Individual provider · Type 1 NPI

Marie Elaine Legere, RASI

Addiction (Substance Use Disorder) Counselor · Skyforest, CA

NPI number 1609136365 Active

Practice location

28545 Hwy 18
Skyforest, CA 92385-0578

Call (909) 336-1800 Map

Fax (909) 336-0990

Mailing address

PO Box 578
Skyforest, CA 92385-0578

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRI-L0805191537 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1609136365

Marie Elaine Legere, RASI's National Provider Identifier is 1609136365, issued on May 29, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Skyforest, CA. The record was last updated on May 29, 2012.