Individual provider · Type 1 NPI
Dennis Logan
Addiction (Substance Use Disorder) Counselor · Leonardtown, MD
NPI number
1366974719
Active
Practice location
22259 Zacks Way
Leonardtown, MD 20650-2579
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | AC0970 (MD) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1366974719
Dennis Logan's National Provider Identifier is 1366974719, issued on Apr 3, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Leonardtown, MD. The record was last updated on Apr 3, 2017.