Individual
LINDSEY LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
823 N JIM THORPE BLVD, PRAGUE, OK 74864-4522
(405) 567-7059
Mailing address
100085 N 3620 RD, PADEN, OK 74860-7138
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7375
OK
251B00000X
Case Management Agency
—
—
Other
Enumeration date
03/09/2017
Last updated
04/21/2020
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