Provider Demographics
NPI:1508022542
Name:LEGAN, LAURA MARIE (LCPC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:MARIE
Last Name:LEGAN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:MARIE
Other - Last Name:SEITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:120 41ST AVE NE
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59404-6808
Mailing Address - Country:US
Mailing Address - Phone:406-930-0841
Mailing Address - Fax:
Practice Address - Street 1:120 41ST AVE NE
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59404-6808
Practice Address - Country:US
Practice Address - Phone:406-930-0841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT2323101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional