Individual provider · Type 1 NPI
Paige Nicole Logan
Addiction (Substance Use Disorder) Counselor · Clearlake Oaks, CA
NPI number
1760160170
Active
Practice location
14715 E Highway 20
Clearlake Oaks, CA 95423
Mailing address
PO Box 316
Lucerne, CA 95458-0316
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | SUDRC15712 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1760160170
Paige Nicole Logan's National Provider Identifier is 1760160170, issued on Jul 6, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clearlake Oaks, CA. The record was last updated on Jul 6, 2023.