Provider Demographics
NPI:1992514129
Name:LEGURSKY, CANDI (MS)
Entity type:Individual
Prefix:
First Name:CANDI
Middle Name:
Last Name:LEGURSKY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 129
Mailing Address - Street 2:
Mailing Address - City:MABSCOTT
Mailing Address - State:WV
Mailing Address - Zip Code:25871-0129
Mailing Address - Country:US
Mailing Address - Phone:304-237-0090
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 129
Practice Address - Street 2:
Practice Address - City:MABSCOTT
Practice Address - State:WV
Practice Address - Zip Code:25871-0129
Practice Address - Country:US
Practice Address - Phone:304-237-0090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health