LATISHA LOGAN

ROSEBURG, OR
NPI1871459214
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  24-QMHA-R-5373)
Enumeration Date2025-12-30
Last Update Date2025-12-30
Business Address
LATISHA LOGAN
548 SE JACKSON ST
ROSEBURG, OR 97470-4983
Phone number: 541-440-3532
Mailing Address
LATISHA LOGAN
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691
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