Individual
CATHY LOGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2682 COIT DR, SAN JOSE, CA 95124-1611
(619) 751-1999
Mailing address
2202 N 1ST ST, SAN JOSE, CA 95131-2007
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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