# LOGAN COMMUNITY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669590949
- **Authorized official:** MS. NICHOLE D GRAVES LPC, LADC (CLINICAL DIRECTOR)
- **Authorized official phone:** (405) 282-5524

## Contact information

- **Practice address:** 4710 S DIVISION ST, GUTHRIE, OK 73044-6506
- **Practice address phone:** (405) 282-5524
- **Mailing address:** PO BOX 1558, GUTHRIE, OK 73044-1558
- **Mailing address phone:** (405) 282-5524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | OK | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 07/21/2022