Individual
DR. DIANE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, ABPP, CSAC
Contact information
Practice address
75-5665 KUAKINI HWY STE 2, KAILUA KONA, HI 96740-1689
(808) 437-7447
Mailing address
PO BOX 5488, KAILUA KONA, HI 96745-5488
(808) 785-5443
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2055-19
HI
101YA0400X
Addiction (Substance Use Disorder) Counselor
2055-19I
HI
103TC0700X
Clinical Psychologist
Primary
PSY-1550
HI
103TC0700X
Clinical Psychologist
PY61224983
HI
Other
Enumeration date
02/10/2015
Last updated
07/09/2026
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