Individual provider · Type 1 NPI

Thomas Mack Logan, MS, LPC

Professional Counselor · Longview, TX

NPI number 1184907024 Active

Practice location

404 Deerwood Dr
Longview, TX 75604-4415

Call (956) 203-1131 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X67844 (TX)

Professional Counselor: Definition to come...

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About NPI 1184907024

Thomas Mack Logan, MS, LPC's National Provider Identifier is 1184907024, issued on Sep 27, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Longview, TX. The record was last updated on Jan 19, 2023.