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1962852947
LOGAN KATSEANES
BOISE, ID
NPI
1962852947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: ID LPC-6164)
Enumeration Date
2016-06-21
Last Update Date
2016-06-21
Business Address
-- LOGAN KATSEANES M.S., L.P.C., N.C.C
4601 S MUSTANG CREEK LN
BOISE, ID 83709-5075
Phone number: 208-866-4688
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Mailing Address
-- LOGAN KATSEANES M.S., L.P.C., N.C.C
4601 S MUSTANG CREEK LN
BOISE, ID 83709-5075
Phone number: 208-866-4688
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