Provider Demographics
NPI:1912037540
Name:LEGER, JESSICA CLAIRE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:CLAIRE
Last Name:LEGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:371 ARBOR TRAIL LN
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-3728
Mailing Address - Country:US
Mailing Address - Phone:832-773-4638
Mailing Address - Fax:281-419-0879
Practice Address - Street 1:26411 OAK RIDGE DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-1964
Practice Address - Country:US
Practice Address - Phone:832-773-4638
Practice Address - Fax:281-419-0879
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA73011041C0700X
TX668541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical