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James Logan JR.
Mental Health Counselor in Eupora, Mississippi
NPI 1407530397

James Logan JR. is a Mental Health Counselor based in Starkville, MS and is specialized in Mental Health. James Logan JR. practices in Eupora, MS. The NPI Number for James Logan JR. is 1407530397 and holds a License No. (Mississippi).

The current practice location address for James Logan JR. is 1660 Veterans Memorial Blvd, Eupora, MS and can be reached out via phone at 662-258-8147.

Location: 1660 Veterans Memorial Blvd, Eupora, MS, 39759-2504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407530397
Provider Name
James Logan JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1660 Veterans Memorial Blvd, Eupora, MS, 39759-2504
Phone Number
662-258-8147
Fax Number
Provider Enumeration Date
06/12/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1700894730 01 MS MENTAL HEALTH COUNSELOR
institution
Provider Business Practice Location Address Details
Address
1660 Veterans Memorial Blvd
City
Eupora
State
Mississippi
Zip
39744-2048
Phone Number
662-258-8147
Fax Number
person
Provider Business Mailing Address Details
Address
1660 Veterans Memorial Blvd
City
Eupora
State
Mississippi
Zip
39744-2048
Phone Number
662-258-8147
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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