Individual
MRS. ANTJE LOGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
14743 OLD BANDERA RD UNIT 14-101, HELOTES, TX 78023-3733
(210) 478-2417
Mailing address
14678 MARIN HOLW, HELOTES, TX 78023-3918
(210) 478-2417
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
71579
TX
Other
Enumeration date
01/05/2019
Last updated
04/27/2020
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