Individual
ANALIESE FAITH LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
370 TABOR AVE, FAIRFIELD, CA 94533-8411
(909) 774-6717
Mailing address
370 TABOR AVE, FAIRFIELD, CA 94533-8411
(909) 774-6717
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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