Provider Demographics
NPI:1902503774
Name:LEGER, TRESSA D (MED)
Entity Type:Individual
Prefix:MRS
First Name:TRESSA
Middle Name:D
Last Name:LEGER
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1925 ENTERPRISE BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-6371
Mailing Address - Country:US
Mailing Address - Phone:337-429-5129
Mailing Address - Fax:337-214-2077
Practice Address - Street 1:1925 ENTERPRISE BLVD
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-6371
Practice Address - Country:US
Practice Address - Phone:337-429-5129
Practice Address - Fax:337-214-2077
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional