| Latosia Rena-denise Logan, | |
|
45964 Brentwood St, Macomb, MI 48042-5410 | |
| (586) 948-0665 | |
| Not Available |
| Full Name | Latosia Rena-denise Logan |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 45964 Brentwood St, Macomb, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013652197 | NPI | - | NPPES |
| 38-3242727 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6451019460 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Latosia Rena-denise Logan, 45964 Brentwood St, Macomb, MI 48042-5410 Ph: (586) 948-0665 | Latosia Rena-denise Logan, 45964 Brentwood St, Macomb, MI 48042-5410 Ph: (586) 948-0665 |
Lisa C Beauvais, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 49587 Hiddenbrook Dr, Macomb, MI 48042 Phone: 586-612-1631 | |
Jennifer S Laboda, MA LLPC NCC SCL Counselor Medicare: Medicare Enrolled Practice Location: 54583 Joseph Ronald Dr, Macomb, MI 48042 Phone: 586-322-9972 | |
Anna Hickey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17937 Hall Rd, Macomb, MI 48044 Phone: 586-255-0499 | |
Kathryn Felcyn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 48772 Fairmont Dr, Macomb, MI 48044 Phone: 586-212-5814 | |
Mrs. Michelle L. Siev, LLPC Counselor Medicare: Medicare Enrolled Practice Location: 21400 Dogleg Dr, Macomb, MI 48042 Phone: 586-598-7403 | |
Jay Gerald Blazius, Counselor Medicare: Not Enrolled in Medicare Practice Location: 47252 Grand Cypress Ct, Macomb, MI 48044 Phone: 586-872-5111 |