| Logan Prince, | |
|
1760 W 4805 S, Taylorsville, UT 84129-1177 | |
| (801) 955-9110 | |
| Not Available |
| Full Name | Logan Prince |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1760 W 4805 S, Taylorsville, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972970069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Prince, 2765 E Melony Dr Bsmt, Slc, UT 84124-3051 Ph: (801) 884-9035 | Logan Prince, 1760 W 4805 S, Taylorsville, UT 84129-1177 Ph: (801) 955-9110 |
Jenessa Crowton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 | |
Jennifer Lutz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 Fax: 801-658-0604 | |
Valerie Hart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 Fax: 801-255-5131 | |
Cheyenne Nicholas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 | |
Catharine Jurek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 | |
Melissa Lamph, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 Fax: 801-658-0604 | |
Joey Malula, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6013 S Redwood Rd, Taylorsville, UT 84123 Phone: 801-255-5131 |