Individual provider · Type 1 NPI

Della Logsdon, PRSS

Addiction (Substance Use Disorder) Counselor · Mangum, OK

NPI number 1992033872 Active

Practice location

2 Wickersham St
Mangum, OK 73554-9117

Mailing address

PO Box 376
Granite, OK 73547-0376

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X904207 (OK)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1992033872

Della Logsdon, PRSS's National Provider Identifier is 1992033872, issued on Dec 3, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mangum, OK. The record was last updated on Dec 3, 2009.