Individual
LOGAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1409 CLARK ST, DES MOINES, IA 50314-1916
(515) 643-6500
Mailing address
1409 CLARK ST, DES MOINES, IA 50314-1916
(515) 643-6500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
138605
IA
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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