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NPI Code Detail

MEDICARE: HOLLI LOGSDON LPC

MEDICARE: HOLLI LOGSDON LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor12351OK

General Provider Information

NPI Number : 1407682180
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLI LOGSDON LPC
Provider Business Mailing Address
First Line : PO BOX 721232
Second Line :
City : NORMAN
State : OK
Zip : 73070-4940
Country : US
Telephone Number : 405-312-8971
Fax Number :
Provider Business Practice Location Address
First Line : 805 E ROBINSON ST
Second Line :
City : NORMAN
State : OK
Zip : 73071-6610
Country : US
Telephone Number : 405-447-4499
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2024
Last Update Date : 03/11/2026

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Directions to “ HOLLI LOGSDON LPC” Practice Location

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