Individual
SARAH LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1711 61ST AVE STE 206, GREELEY, CO 80634-3049
(970) 281-4677
Mailing address
1711 61ST AVE STE 206, GREELEY, CO 80634-3049
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
164W00000X
Licensed Practical Nurse
PN.0334836
CO
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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