Individual
CARLEEN LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAARR
Contact information
Practice address
610 4TH ST, BAKERSFIELD, CA 93304-2218
(661) 631-8415
(661) 326-1602
Mailing address
12203 RIVERFRONT PARK DR, BAKERSFIELD, CA 93311-9290
(661) 204-3352
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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