Provider Demographics
NPI:1770647349
Name:LEGG, KAMI (CTRS)
Entity Type:Individual
Prefix:MRS
First Name:KAMI
Middle Name:
Last Name:LEGG
Suffix:
Gender:F
Credentials:CTRS
Other - Prefix:
Other - First Name:KAMI
Other - Middle Name:
Other - Last Name:PRESSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3905 JOHNS CREEK COURT
Mailing Address - Street 2:SUITE 260
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-1226
Mailing Address - Country:US
Mailing Address - Phone:770-753-0350
Mailing Address - Fax:770-497-9536
Practice Address - Street 1:3905 JOHNS CREEK COURT
Practice Address - Street 2:SUITE 260
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-1226
Practice Address - Country:US
Practice Address - Phone:770-753-0350
Practice Address - Fax:770-497-9536
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT001328106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist