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Individual
JAMIE M LOGAN
Active
Individual
JAMIE M LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIAC, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15103
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
936
OK
Other
Enumeration date
03/23/2010
Last updated
09/08/2026
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