Individual provider · Type 1 NPI

Lea Kathleen Logal

Mental Health Counselor · South Lake Tahoe, CA

NPI number 1780911255 Active

Practice location

1900 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-6305

Call (530) 573-3251 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1780911255

Lea Kathleen Logal's National Provider Identifier is 1780911255, issued on Nov 4, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Nov 4, 2009.