Individual provider · Type 1 NPI
Reginald Logan, LMHC
Mental Health Counselor · Viera, FL
NPI number
1245587583
Active
Practice location
3311 Gatlin Dr, Suite 102
Viera, FL 32955-7022
Fax (321) 610-7947
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH14191 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1245587583
Reginald Logan, LMHC's National Provider Identifier is 1245587583, issued on Aug 6, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Viera, FL. The record was last updated on Oct 25, 2016.