Individual provider · Type 1 NPI

Todd Logan, CADC R

Addiction (Substance Use Disorder) Counselor · Siletz, OR

NPI number 1013740836 Active

Practice location

200 Gwee Shut Rd
Siletz, OR 97380-2036

Call (541) 444-1030 Map

Mailing address

PO Box 320
Siletz, OR 97380-0320

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 1013740836

Todd Logan, CADC R's National Provider Identifier is 1013740836, issued on Aug 26, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Siletz, OR. The record was last updated on Aug 26, 2024.