| Kyra Logsdon | |
|
3057 Hill Ave Grand Junction CO 81504-2607 | |
| (970) 208-2682 | |
| Not Available |
| Full Name | Kyra Logsdon |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3057 Hill Ave, Grand Junction, Colorado |
| Authorized Official Name and Position | Kyra Logsdon (OWNER) |
| Authorized Official Contact | 9702082682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kyra Logsdon Po Box 40305 Grand Junction CO 81504-0305 Ph: (970) 208-2682 | Kyra Logsdon 3057 Hill Ave Grand Junction CO 81504-2607 Ph: (970) 208-2682 |
| NPI Number | 1316573991 |
|---|---|
| Provider Enumeration Date | 03/16/2020 |
| Last Update Date | 06/22/2020 |
| Certification Date | 06/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316573991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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