Individual
LOGAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
461 34TH ST SW, FARGO, ND 58103-2215
(701) 630-6100
Mailing address
461 34TH ST SW, FARGO, ND 58103-2215
(701) 630-6100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
ND
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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