Provider Demographics
NPI:1700906443
Name:LEGRUE, EMILYANN RITZMAN (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:EMILYANN
Middle Name:RITZMAN
Last Name:LEGRUE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:EMILYANN
Other - Middle Name:
Other - Last Name:RITZMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3901 CENTURY DR
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-8240
Mailing Address - Country:US
Mailing Address - Phone:541-844-8910
Mailing Address - Fax:
Practice Address - Street 1:1234 PEARL ST STE 6
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3642
Practice Address - Country:US
Practice Address - Phone:541-844-8910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health