Individual
MICHAEL DEWAYNE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, MCJ, BCJ
Contact information
Practice address
201 W MONTGOMERY ST, GAFFNEY, SC 29341-1773
(864) 487-2721
Mailing address
906 SPRING ST, GAFFNEY, SC 29340-2930
(864) 425-6675
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
SC
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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