Most Relevant Information
Provider Data
| NPI Number: | 1003577859 |
| Provider Name: | LOGAN HILLARY PARMELEE |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/04/2022 |
| Last Updated: | 01/04/2022 |
Provider Practice Location
376 E APPLE AVE
MUSKEGON
MI
494423466
Practice Location Phone/Fax
| Phone: | 2317241111 |
| Fax: |
Provider Mailing Location
376 E APPLE AVE
MUSKEGON
MI
494423466
Provider Mailing Phone/Fax
| Phone: | 2317241111 |
| Fax: |