Mykel Logan
Mykel Logan is a Peer Specialist in Pueblo, Colorado. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1310 Chinook LnPueblo, CO 81001-1851
Phone: (719) 545-2746
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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 | 1386304798 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 27, 2021 |
| Last updated in NPPES | December 27, 2021 |
| Certification date | December 27, 2021 |
| Mailing address | 41 Montebello Rd Ste 204, Pueblo, CO 81001-1379 |
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Lisa Markley
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