Individual
LISA LOGELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7945 STONE CREEK DR, SUITE 140, CHANHASSEN, MN 55317-4605
(952) 974-3999
(952) 974-3780
Mailing address
1216 CRYSTAL PL E, CHASKA, MN 55318-2233
(952) 250-7697
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
00540
MN
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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