MR. Andrew Logan, AGENCY AFFILIATED

NPI #1033584263 in Burien, Washington

Provider Information

NPI Number: 1033584263
Entity Type: Individual
Name: MR. Andrew Logan, AGENCY AFFILIATED
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: AGENCY AFFILIATED
Enumeration Date: Dec 14, 2015
Last Updated: Jan 25, 2016

Practice Location

Address: 1210 SW 136TH ST
City: Burien
State: Washington
ZIP Code: 98166-1214
Phone: (206) 257-6913

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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