Individual
ALICIA LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, LPC, NCC
Contact information
Practice address
5000 LEGACY DR, SUITE 400, PLANO, TX 75024-3100
(469) 730-4055
(469) 453-6400
Mailing address
6627 GENSTAR LN, DALLAS, TX 75252-5444
(469) 730-4055
(469) 453-6400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
67137
TX
101YP2500X
Professional Counselor
Primary
67137
TX
Other
Enumeration date
10/16/2012
Last updated
07/15/2015
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