Individual
ANGELA LOGSTON-FLANNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
523 OAK RIDGE CHURCH RD, CORBIN, KY 40701
(606) 215-3008
Mailing address
610 SMITH LN, LONDON, KY 40741-2822
(606) 215-3008
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
281722
KY
101YM0800X
Mental Health Counselor
Primary
281722
KY
101YP2500X
Professional Counselor
281722
KY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100877520
—
KY
Enumeration date
04/16/2018
Last updated
08/04/2025
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