Logan, Alicia J

Logan, Alicia J is an individual health care provider with primary practice located at 350 E Gobbi St , Ukiah CA 95482-5511. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Logan, Alicia J can be contacted via phone (707) 472-2922.

Contact Information

Primary practice address
350 E Gobbi St Ukiah CA 95482-5511
Phone: (707) 472-2922
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1629210877
LBN Legal business name Logan, Alicia J
Credentials MHRS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2009
Last updated Aug 1st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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