Individual provider · Type 1 NPI

Michelle Marie Logan, CASAC

Addiction (Substance Use Disorder) Counselor · Owego, NY

NPI number 1487753869 Active

Practice location

1062 State Route 38
Owego, NY 13827

Call (607) 687-4000 Map

Fax (607) 687-6396

Mailing address

8 N. Chemung St.
Waverly, NY 14892

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X19014 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1487753869

Michelle Marie Logan, CASAC's National Provider Identifier is 1487753869, issued on Sep 21, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Owego, NY. The record was last updated on Jul 8, 2007.