Individual
ALLISON LOGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
6183 PASEO DEL NORTE STE 110, CARLSBAD, CA 92011-1151
(858) 208-3204
Mailing address
3075 MEADE AVE, SAN DIEGO, CA 92116-4384
(858) 204-3204
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
112033
CA
Other
Enumeration date
05/11/2019
Last updated
05/11/2019
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