Individual provider · Type 1 NPI

Dominique L. Logan

Mental Health Counselor · Chandler, AZ

NPI number 1629993829 Active

Practice location

335 N Alma School Rd Ste E
Chandler, AZ 85224-4363

Mailing address

2380 N Palo Verde Dr
Florence, AZ 85132-6912

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629993829

Dominique L. Logan's National Provider Identifier is 1629993829, issued on Aug 13, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chandler, AZ. The record was last updated on Aug 13, 2026.