Individual
KATIE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LCDP
Contact information
Practice address
2 OLD COUNTY RD, BARRINGTON, RI 02806-1600
(401) 246-1195
Mailing address
2 OLD COUNTY RD, BARRINGTON, RI 02806-1600
(401) 246-1195
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP00479
RI
101YM0800X
Mental Health Counselor
Primary
MHC00474
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KC75232
—
RI
Enumeration date
04/06/2009
Last updated
04/26/2011
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