Marcus Terrell Logan

NPI #1053577148 in Castro Valley, California

Provider Information

NPI Number: 1053577148
Entity Type: Individual
Name: Marcus Terrell Logan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jul 29, 2008
Last Updated: Jul 29, 2008

Practice Location

Address: 5248 CRANE AVE
City: Castro Valley
State: California
ZIP Code: 94546-2532
Phone: (510) 538-3060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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