Most Relevant Information
Provider Data
| NPI Number: | 1003425422 |
| Provider Name: | T'ONNA LOGAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/31/2020 |
| Last Updated: | 04/29/2024 |
Provider Practice Location
1897 RIDGE RD
BOYDTON
VA
239172421
Practice Location Phone/Fax
| Phone: | 4342108264 |
| Fax: |
Provider Mailing Location
1897 RIDGE RD
BOYDTON
VA
239172421
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |