Logan Gray Darkholme
Logan Gray Darkholme is a Peer Specialist in Kingston, New York. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
368 Broadway Ste 201Kingston, NY 12401-5160
Phone: (845) 768-0232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1881432789 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 16, 2024 |
| Last updated in NPPES | July 16, 2024 |
| Certification date | July 16, 2024 |
| Mailing address | 368 Broadway, Ste 201, Kingston, NY 12401-5160 |
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