Individual
MR. ANDREW LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGENCY AFFILIATED
Contact information
Practice address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(206) 257-6913
Mailing address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(206) 257-6913
(206) 248-8232
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG 60230412
WA
Other
Enumeration date
12/14/2015
Last updated
01/25/2016
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