Individual
LOGAN LEE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COUNSELOR TECHNICIAN
Contact information
Practice address
2953 E FAIRVIEW LOOP, WASILLA, AK 99654
(907) 306-0041
Mailing address
3600 SAN JERONIMO DR STE 210, ANCHORAGE, AK 99508-2870
(907) 793-3200
(907) 793-3250
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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