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

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

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

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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.