Individual
DONNA JEAN LOGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4525 S LAKESHORE DR STE 102, TEMPE, AZ 85282-7047
(480) 755-7875
(480) 775-0660
Mailing address
4525 S LAKESHORE DR STE 102, 14122 W. MCDOWELL RD. #103C, GOODYEAR, AZ 85338, TEMPE, AZ 85282-7047
(480) 755-7875
(480) 775-0660
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC10375
AZ
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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