Individual
AUDREY MCCALL LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3479 BUCKHORN DRIVE, STE 106, LEXINGTON, KY 40515
(859) 246-7282
(859) 273-2184
Mailing address
3604 REMORA DR, LEXINGTON, KY 40517-3843
(859) 421-0474
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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