Individual provider · Type 1 NPI
David Allen Logue Ii
Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA
NPI number
1104471135
Active
Practice location
440 Arrowood Dr
Santa Rosa, CA 95407-7503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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- Teri Musser, SUDRC 12678Addiction (Substance Use Disorder) Counselor Santa Rosa, CA NPI 1003577677
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About NPI 1104471135
David Allen Logue Ii's National Provider Identifier is 1104471135, issued on Aug 6, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 6, 2019.