Individual
MS. LEAH MARIE LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1105 SW 30TH CT, MOORE, OK 73160-2887
(405) 676-5114
Mailing address
1105 SW 30TH CT, MOORE, OK 73160-2887
(405) 676-5114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
06633
OK
101YP2500X
Professional Counselor
Primary
06633
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0421590335
HPSO
OK
Enumeration date
09/19/2013
Last updated
04/09/2025
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