Della Logsdon, PRSS Valid NPI
Individual provider · Addiction (Substance Use Disorder) Counselor · Mangum, OK
- NPI
- 1992033872
- Type
- Individual (Type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YA0400X
- License number
- 904207 (OK)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2009-12-03
- Last updated
- 2009-12-03
Practice location
2 Wickersham St
Mangum, OK 73554-9117
(580) 782-3337