Individual provider · Type 1 NPI

Clara A. Logan, EDM

Mental Health Counselor · Woburn, MA

NPI number 1891279808 Active

Practice location

10I Roessler Rd
Woburn, MA 01801-6208

Mailing address

70 Oak St
Wakefield, MA 01880-3833

Other practice locations

  • 1115 W Chestnut St, Brockton, MA 02301-7501 · (508) 521-2200

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800X12089 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1891279808

Clara A. Logan, EDM's National Provider Identifier is 1891279808, issued on Sep 17, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Woburn, MA. The record was last updated on Aug 8, 2022.