Individual
KARISSA A LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019039845
MO
101YP2500X
Professional Counselor
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14507794
CAQH
MO
Enumeration date
07/25/2019
Last updated
09/05/2025
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