Individual
JASMINE ALYSE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
403 E MEEKER ST STE 200, KENT, WA 98030-5904
(253) 852-2866
(253) 852-3102
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
(425) 277-1566
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MC61678460
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/27/2023
Last updated
02/09/2026
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