Individual
MISS BRENDA RENEE LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, CEAP
Contact information
Practice address
1225 W 190TH ST, SUITE 310, GARDENA, CA 90248-4320
(323) 753-7763
(310) 538-5518
Mailing address
PO BOX 513283, LOS ANGELES, CA 90051-1283
(323) 791-8305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFT 45015
CA
Other
Enumeration date
12/11/2007
Last updated
11/18/2024
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