Individual provider · Type 1 NPI

Alberta Gaea Logan

Professional Counselor · Boulder, CO

NPI number 1366907719 Active

Practice location

1244 Pine St
Boulder, CO 80302-4809

Mailing address

7322 Yucca Ct
Boulder, CO 80301-3932

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X0013418 (CO)
Professional Counselor Primary 101YP2500X0013418 (CO)

Professional Counselor: Definition to come...

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About NPI 1366907719

Alberta Gaea Logan's National Provider Identifier is 1366907719, issued on Feb 8, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boulder, CO. The record was last updated on Jun 11, 2019.