Individual
ANGELENE LOGIUDICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2345 MARION ST, NORTH BEND, OR 97459-2637
(541) 271-0219
(541) 858-8167
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 217-6066
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/05/2012
Last updated
02/22/2016
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