Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETIENNE FOX LOGAN II
ActiveETIENNE FOX LOGAN II is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SUFFOLK, Virginia. NPI 1346712478 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SUFFOLK, VA
Registration Details
- NPI Number
- 1346712478
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 31, 2018 (7.578172837834 yrs)
- Last Updated
- Dec 31, 2018
- License
-
0732005011 (VA)
Practice Information
- Address
-
1258 HOLLAND RDSUFFOLK, VA, 234346313Browse VA providers · Browse ZIP 23434
- Phone
- 7578094771
- Fax
- 7578094932
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SUFFOLK, VA
| Name | Credential | NPI |
|---|---|---|
| KAREN NICELY | LPC | 1760579338 |
| MRS. TONYA RENEE TAYLOR-BUSH | M.A., CSAC, QMHP | 1750611042 |
| TYKISHA MICHELLE FOSTER | CSAC | 1356698526 |
| DR. SONYA LEVETTE LEE | ED.D, CSAC, CAADC | 1285174797 |
| PATRICIA BROWN | — | 1073023933 |
| MRS. NORASHAWNDA MILLER | CSAC-A, ICADC | 1659846582 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.