Individual
MR. DAVID MATTHEW LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-II
Contact information
Practice address
1175 GRAND CONCOURSE FL 8, BRONX, NY 10452-8549
(212) 665-1860
(718) 294-4034
Mailing address
1175 GRAND CONCOURSE FL 8, BRONX, NY 10452-8549
(212) 665-1860
(718) 294-4034
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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