Logan Larson LPC

NPI 1710385174 - Counselor - 101YP2500X

NPI Details
NPI 1710385174
Gender Female
Enumeration Date 12/16/2014
Last Updated 12/16/2014
Entity Type Individual
Active Over 1 year ago
Practice Location
3760 PIPER ST
ANCHORAGE AK, 99508-4683, US
Phone (907) 212-6900
Fax (907) 212-6936
Business Location
PO BOX 4105
PORTLAND OR, 97208-4105, US
Phone (866) 907-1068
Fax (425) 917-9141
Toxanomy
Taxonomy Code 101YP2500X
License State Alaska
License Number 864
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According to our database, Logan Larson LPC NPI is 1710385174, taxonomy code is 101YP2500X and license number is 864, license state is located at Alaska. Logan Larson LPC physically located at 3760 Piper St, Anchorage AK, 99508-4683. NPI Number Logan Larson LPC has the Individual type.

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1710385174 NPI number is provided on an as is basis without warranty of any kind. 1710385174 is maintained by the National Plan & Provider Enumeration System. The contents of Logan Larson LPC are for informational purposes only.