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Lanier Charles Logan
Mental Health Counselor in Detroit, Michigan
NPI 1790467348

Lanier Charles Logan is a Mental Health Counselor based in Detroit, MI and is specialized in Mental Health. Lanier Charles Logan practices in Detroit, MI. The NPI Number for Lanier Charles Logan is 1790467348 and holds a License No. 6451019005 (Michigan).

The current practice location address for Lanier Charles Logan is 2925 Russell St, Detroit, MI and can be reached out via phone at 313-694-5151.

Location: 2925 Russell St, Detroit, MI, 48207-4825
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790467348
Provider Name
Lanier Charles Logan
Credential
Provider Entity Type
Individual
Gender
Male
Address
2925 Russell St, Detroit, MI, 48207-4825
Phone Number
313-694-5151
Fax Number
Provider Enumeration Date
08/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2925 Russell St
City
Detroit
State
Michigan
Zip
48207-4825
Phone Number
313-694-5151
Fax Number
person
Provider Business Mailing Address Details
Address
2925 Russell St
City
Detroit
State
Michigan
Zip
48207-4825
Phone Number
313-694-5151
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6451019005 (Michigan)
Definition
Definition to come...
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