Logan Lee Cook, COUNSELOR TECHNICIAN

NPI #1306401864 in Wasilla, Alaska

Provider Information

NPI Number: 1306401864
Entity Type: Individual
Name: Logan Lee Cook, COUNSELOR TECHNICIAN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Credential: COUNSELOR TECHNICIAN
Enumeration Date: May 9, 2019
Last Updated: May 9, 2019

Practice Location

Address: 2953 E FAIRVIEW LOOP
City: Wasilla
State: Alaska
ZIP Code: 99654
Phone: (907) 306-0041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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