Individual provider · Type 1 NPI

Kelly Logue

Mental Health Counselor · Riviera Beach, FL

NPI number 1720323322 Active

Practice location

2051 Martin Luther King Jr Blvd, Suite 101
Riviera Beach, FL 33404-7004

Call (561) 683-4778 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1720323322

Kelly Logue's National Provider Identifier is 1720323322, issued on Dec 7, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Riviera Beach, FL. The record was last updated on Dec 7, 2012.