Individual
LOGAN BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
367 RICHARDSON RD SE, CALHOUN, GA 30701-3619
(800) 805-6989
Mailing address
142 GRAY ST, TRION, GA 30753-1402
(706) 676-0429
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
GA
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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