REGINALD LOGAN

VIERA, FL
NPI1245587583
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH14191)
Enumeration Date2012-08-06
Last Update Date2016-10-25
Business Address
-- REGINALD LOGAN LMHC
3311 GATLIN DR SUITE 102
VIERA, FL 32955-7022
Phone number: 321-243-5938
Mailing Address
-- REGINALD LOGAN LMHC
3311 GATLIN DR
VIERA, FL 32955-7022
Phone number: 321-243-5938
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