NPI 1225646300

Tara Logan, MALLPCLLMFT

Practitioner Marriage & Family Therapist Kalamazoo, MI

Practice location

Address: 157 S Kalamazoo Mall STE 250, Kalamazoo, MI 49007-4828
Phone: (269) 422-0565
Mailing address: 1533 N Park St, Kalamazoo, MI 49007-1806

Registered specialties (2)

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 4151000532 (MI)

Other Marriage & Family Therapist providers in Michigan →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 6401018406 (MI)

Other Counselor providers in Michigan →

Registry record

NPI: 1225646300
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jul 2020
Record last updated: 15 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.