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Individual

MS. RENEE FRANCINE LOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COUNSELOR

Contact information

Practice address
2265 BRIARCREST DR, FLORISSANT, MO 63033-1703
(314) 749-1380
Mailing address
2265 BRIARCREST DR, FLORISSANT, MO 63033-1703
(314) 749-1380

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker

Other

Enumeration date
01/18/2019
Last updated
01/18/2019
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