Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Latosia Rena-Denise Logan

Individual provider Counselor · NPI 1013652197

Latosia Rena-Denise Logan is a Counselor in Macomb, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022
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Practice location Address checks out

45964 Brentwood St
Macomb, MI 48042-5410
Phone: (586) 948-0665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 6451019460 (MI)

Record details

NPI number1013652197
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 3, 2022
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

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