Individual provider · Type 1 NPI

Michael Dewayne Logan, MSW, MCJ, BCJ

Addiction (Substance Use Disorder) Counselor · Gaffney, SC

NPI number 1003629304 Active

Practice location

201 W Montgomery St
Gaffney, SC 29341-1773

Call (864) 487-2721 Map

Mailing address

906 Spring St
Gaffney, SC 29340-2930

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003629304

Michael Dewayne Logan, MSW, MCJ, BCJ's National Provider Identifier is 1003629304, issued on Jan 30, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gaffney, SC. The record was last updated on Jan 30, 2025.