Individual
MS. AMY CECILE LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
340 CYPRESS DR, FAIRFAX, CA 94930-2112
(949) 637-9620
Mailing address
340 CYPRESS DR, FAIRFAX, CA 94930-2112
(949) 637-9620
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
CA
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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