Individual provider · Type 1 NPI
Clarissa Lynette Logan
Addiction (Substance Use Disorder) Counselor · Lancaster, CA
NPI number
1013334515
Active
Practice location
44349 Lowtree Ave Ste 117
Lancaster, CA 93534-4167
Fax (661) 524-9101
Mailing address
44447 10th St W
Lancaster, CA 93534-3324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1013334515
Clarissa Lynette Logan's National Provider Identifier is 1013334515, issued on Mar 21, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lancaster, CA. The record was last updated on Dec 9, 2021.