Most Relevant Information
Provider Data
| NPI Number: | 1003520800 |
| Provider Name: | KELSEY E LEGAGNEUR QMHP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/06/2023 |
| Last Updated: | 01/06/2023 |
Provider Practice Location
1790 NATIONS DR STE 110
GURNEE
IL
600319175
Practice Location Phone/Fax
| Phone: | 3218892360 |
| Fax: |
Provider Mailing Location
3214 EDGEWOOD DR
WONDER LAKE
IL
600979314
Provider Mailing Phone/Fax
| Phone: | 3218892360 |
| Fax: |