Provider Demographics
NPI:1740935915
Name:SAINT-LEGER, ERNEST ANTHONY
Entity type:Individual
Prefix:MR
First Name:ERNEST
Middle Name:ANTHONY
Last Name:SAINT-LEGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13A WHITMAN ST
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER CENTER
Mailing Address - State:MA
Mailing Address - Zip Code:02124-4419
Mailing Address - Country:US
Mailing Address - Phone:781-441-9199
Mailing Address - Fax:
Practice Address - Street 1:13A WHITMAN ST
Practice Address - Street 2:
Practice Address - City:DORCHESTER CENTER
Practice Address - State:MA
Practice Address - Zip Code:02124-4419
Practice Address - Country:US
Practice Address - Phone:781-441-9199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)