Michelle Marie Logan in Owego - Addiction (substance Use Disorder)

Michelle Marie Logan - NPI 1487753869

Michelle Marie Logan is a Addiction (substance Use Disorder) in Owego, New York. Michelle Marie Logan practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Michelle Marie Logan is 1487753869. The last update date is 2007-07-08.

Michelle Marie Logan's current location address is 1062 State Route 38, Owego, New York. You can contact this provider via phone number 6076874000 and fax number 6076876396. The mailing address for Michelle Marie Logan is 1062 State Route 38, Owego, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Michelle Marie Logan
Address 1062 State Route 38, Owego, New York
Phone Number 6076874000
Fax Number 6076876396
Sole Proprietor N
Credentials CASAC

NPI Number Detail

NPI Number 1487753869
Provider Enumeration Date 2006-09-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1062 State Route 38
City Owego
State New York (NY)
Post Code 13827
Phone Number 6076874000
Fax Number 6076876396

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 19014
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
19014 NY CASAC

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FAQs about Michelle Marie Logan

What is the unique 10-digit identification code assigned to Michelle Marie Logan by the Centers for Medicare & Medicaid Services?

The Michelle Marie Logan has been issued the NPI (National Provider Identifier) 1487753869, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Michelle Marie Logan is physically located?

The Michelle Marie Logan is situated at the following address: 1062 State Route 38, Owego, NY 13827.

What is Michelle Marie Logan's area of expertise and its corresponding taxonomy classification?

The Michelle Marie Logan's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.

On what date did the Michelle Marie Logan receive its 1487753869 assignment from the Centers for Medicare & Medicaid Services?

The Michelle Marie Logan was assigned its 1487753869 by the Centers for Medicare & Medicaid Services on 2006-09-21.

As of what date were the details related to Michelle Marie Logan most recently updated or revised?

The information pertaining to Michelle Marie Logan, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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