Individual
AILEEN LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCI
Contact information
Practice address
301 E 13TH ST, MERCED, CA 95341-6211
(209) 381-6800
Mailing address
1343 W MAIN ST STE AB, MERCED, CA 95340-4438
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/07/2016
Last updated
06/27/2022
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