Individual provider · Type 1 NPI

John Logan

Mental Health Counselor · Tullahoma, TN

NPI number 1801181540 Active

Practice location

709 North Davidson Street
Tullahoma, TN 37388-2346

Call (931) 434-2484 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1801181540

John Logan's National Provider Identifier is 1801181540, issued on Jun 10, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tullahoma, TN. The record was last updated on Jun 10, 2011.