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Individual

ALICIA J LOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHRS

Contact information

Practice address
531 S ORCHARD AVE STE A, UKIAH, CA 95482-5022
(707) 472-2922
Mailing address
PO BOX 2077, UKIAH, CA 95482-2077
(707) 472-2922

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
Primary

Other

Enumeration date
04/02/2009
Last updated
09/02/2025
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