Individual
DIASHANNA YVETTE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
537 W SUGAR CREEK RD STE 203, CHARLOTTE, NC 28213-6102
(980) 875-9473
(704) 595-7155
Mailing address
537 W SUGAR CREEK RD STE 203, CHARLOTTE, NC 28213-6102
(980) 875-9473
(704) 595-7155
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A20359
NC
Other
Enumeration date
10/21/2024
Last updated
12/01/2024
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