Individual
DR. ISABEALL TALMADGE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
89 MAIN ST., COUNSELING SERVICE OF ADDISON COUNTY, MIDDLEBURY, VT 05753-8806
(802) 377-2852
Mailing address
1641 ROUTE 7 S, MIDDLEBURY, VT 05753-8806
(802) 377-2852
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0066611
VT
101YM0800X
Mental Health Counselor
LMHC 5183
MA
Other
Enumeration date
11/14/2006
Last updated
12/23/2010
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