LOGAN JACOBS

BRANDON, FL
NPI1447997002
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL  ISW17410)
Enumeration Date2022-05-16
Last Update Date2022-06-29
Business Address
LOGAN JACOBS MSW
510 VONDERBURG DR STE 301
BRANDON, FL 33511-6072
Phone number: 813-881-1000
Mailing Address
LOGAN JACOBS MSW
510 VONDERBURG DR STE 301
BRANDON, FL 33511-6072
Phone number: 813-881-1000