Individual
MRS. JOAN LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS LPC
Contact information
Practice address
515 E WASHINGTON ST, COLORADO SPRINGS, CO 80907-7045
(719) 471-2932
(719) 471-2932
Mailing address
6040 W 91ST AVE, WESTMINSTER, CO 80031-2905
(877) 838-4783
(877) 345-3501
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
234
CO
163W00000X
Registered Nurse
65018
CO
364SP0813X
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79652336
—
CO
Enumeration date
03/09/2006
Last updated
02/26/2008
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