Individual
COLLEEN RUA LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC-S
Contact information
Practice address
610 OLD CAMPBELL RD STE 112, RICHARDSON, TX 75080-3379
(469) 831-7618
Mailing address
610 OLD CAMPBELL RD STE 112, RICHARDSON, TX 75080-3379
(469) 831-7618
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
65609
TX
Other
Enumeration date
04/02/2018
Last updated
06/20/2018
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