Alberta Gaea Logan

Professional Counselor · Boulder, CO

Individual Active NPI

NPI number 1366907719

Practice location

1244 Pine St
Boulder, CO 80302-4809
Phone
(512) 694-1393

Open in Google Maps

NPI record

NPI
1366907719
Entity type
Individual (Type 1)
Enumeration date
February 8, 2019
Last updated
June 11, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Professional Counselor Primary 101YP2500X 0013418 CO
Counselor 101Y00000X 0013418 CO

Mailing address

7322 Yucca Ct
Boulder, CO 80301-3932
Phone
(512) 694-1393

About Alberta Logan

Alberta Gaea Logan is a healthcare provider registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 1244 Pine St, Boulder, CO 80302-4809. The NPI number 1366907719 was assigned on February 8, 2019 and the record was last updated on June 11, 2019.

Alberta Logan lists 2 licenses in the registry: #0013418 (CO) for Professional Counselor; #0013418 (CO) for Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alberta Gaea Logan?

The NPI number is 1366907719.

What is the phone number of Alberta Logan?

The phone number listed for the practice location is (512) 694-1393.

Where is Alberta Logan located?

1244 Pine St, Boulder, CO 80302-4809.

What is the taxonomy code for Alberta Logan?

The primary taxonomy code is 101YP2500X – Professional Counselor; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Professional Counselor providers in Boulder

All Professional Counselor providers in Boulder, CO →