Organization · Type 2 NPI
Kim Logan Communications Clinic Inc
Professional Counselor · Detroit, MI
NPI number
1073810644
Active
Practice location
3011 W Grand Blvd, Suite 423
Detroit, MI 48202-3096
Fax (313) 664-4901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401001940 (MI) |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | None listed |
| Clinical Psychologist | 103TC0700X | 6301011558 (MI) |
| Clinical Child & Adolescent Psychologist | 103TC2200X | None listed |
| Family Psychologist | 103TF0000X | None listed |
| Group Psychotherapy Psychologist | 103TP2701X | None listed |
| Clinical Social Worker | 1041C0700X | 6801068236 (MI) |
| School Social Worker | 1041S0200X | 6301011558 (MI) |
| Marriage & Family Therapist | 106H00000X | None listed |
| Speech-Language Pathologist | 235Z00000X | 12068248 (MD) |
Professional Counselor: Definition to come...
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About NPI 1073810644
Kim Logan Communications Clinic Inc's National Provider Identifier is 1073810644, issued on Feb 17, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Detroit, MI. The record was last updated on Dec 13, 2016.