Mykel Logan is a Peer Specialist based in Pueblo, CO. Mykel Logan practices in Pueblo, CO. The NPI Number for Mykel Logan is 1386304798 and holds a License No. (Colorado).
The current practice location address for Mykel Logan is 1310 Chinook Ln, Pueblo, CO and can be reached out via phone at 719-545-2746.
Location: 1310 Chinook Ln, Pueblo, CO, 81001-1379
Provider Profile Details
NPI Number
1386304798
Provider Name
Mykel Logan
Credential
Provider Entity Type
Individual
Gender
Male
Address
1310 Chinook Ln, Pueblo, CO, 81001-1379
Phone Number
719-545-2746
Fax Number
Provider Enumeration Date
12/27/2021
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1310 Chinook Ln
City
State
Zip
81001-1851
Phone Number
719-545-2746
Fax Number
Provider Business Mailing Address Details
Address
1310 Chinook Ln
City
State
Zip
81001-1851
Phone Number
719-545-2746
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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