MS. ALBERTA GAEA LOGAN NPI 1366907719

NPI Information

NPI: 1366907719
Provider Name: MS. ALBERTA GAEA LOGAN
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1244 PINE ST
BOULDER, CO
ZIP 80302
Phone: (512) 694-1393
Get Directions

MS. Alberta Gaea Logan is a professional counselor in Boulder, CO. MS. Alberta Gaea Logan NPI is 1366907719. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1244 PINE ST
BOULDER, CO
ZIP 80302-809
Phone: (512) 694-1393

The enumeration date for this NPI number is 2/8/2019 and was last updated on 6/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		0013418	COLORADO	No
2	101YP2500X	Counselor	Professional	0013418	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0013418	OTHER	COLORADO	LPC LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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