Individual
DR. LEWIS E LOGAN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDIV, THM, DMIN, CPE
Contact information
Practice address
332 N. PRAIRIE AVE., SUITE 417, INGLEWOOD, CA 90301
(310) 680-1810
Mailing address
10747 MAGNOLIA BLVD, 418, NORTH HOLLYWOOD, CA 91601-4093
(310) 936-7703
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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