Individual
MARGARET RACHELLE LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18120 CORNWALL RD, CLEVELAND, OH 44119-1650
(216) 973-1330
Mailing address
18120 CORNWALL RD, CLEVELAND, OH 44119-1650
(216) 973-1330
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
161365
OH
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
01/18/2024
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