Individual provider · Type 1 NPI
Angel Monique Logan, LPC
Professional Counselor · Fort Worth, TX
NPI number
1043945793
Active
Practice location
4829 Salmon Run Way
Fort Worth, TX 76137-5654
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 76282 (TX) |
Professional Counselor: Definition to come...
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About NPI 1043945793
Angel Monique Logan, LPC's National Provider Identifier is 1043945793, issued on Jul 18, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Worth, TX. The record was last updated on Jul 18, 2022.