Individual provider · Type 1 NPI

Marcus Terrell Logan

Counselor · Castro Valley, CA

NPI number 1053577148 Active

About NPI 1053577148

Marcus Terrell Logan's National Provider Identifier is 1053577148, issued on Jul 29, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Castro Valley, CA. The record was last updated on Jul 29, 2008.