Individual
LINDA L LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCMH
Contact information
Practice address
115 E HAVENS AVE, SUITE 107, MITCHELL, SD 57301-4461
(605) 999-6162
(605) 942-7300
Mailing address
115 E HAVENS AVE, SUITE 107, MITCHELL, SD 57301-4461
(605) 999-6162
(605) 942-7300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCMH2101
SD
Other
Enumeration date
10/21/2006
Last updated
04/19/2018
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