Individual
BRYON LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1319 S MANHATTAN PL, LOS ANGELES, CA 90019-4702
(323) 734-1143
(323) 734-4302
Mailing address
1319 S MANHATTAN PL, LOS ANGELES, CA 90019-4702
(323) 734-1143
(323) 734-4302
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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