| Ms Cynthia Angela Harbour-logan, LCSW | |
| 42455 10th St W Ste 103, Lancaster, CA 93534-7060 | |
| (661) 483-2225 | |
| Not Available | 
| Full Name | Ms Cynthia Angela Harbour-logan | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 42455 10th St W Ste 103, Lancaster, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1477747392 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 21123 (California) | Primary | 
| Entity Name | Exodus Recovery Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245441906 PECOS PAC ID: 2668467341 Enrollment ID: O20100107000614 | 
| Entity Name | Grow Healthcare Group Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Cynthia Angela Harbour-logan, LCSW 8939 S Sepulveda Blvd Ste 110, Los Angeles, CA 90045-3632 Ph: (310) 498-7694 | Ms Cynthia Angela Harbour-logan, LCSW 42455 10th St W Ste 103, Lancaster, CA 93534-7060 Ph: (661) 483-2225 | 
| Martin Patterson Tanner, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 44648 15th St W, Lancaster, CA 93534 Phone: 661-463-0501 | |
| Charesse Del Shawndra Branch,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3154 Darkwood St, Lancaster, CA 93536 Phone: 661-609-9147 | |
| Mrs. Cynthia N Gonzalez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43520 Division St, Lancaster, CA 93535 Phone: 661-266-4783 Fax: 661-266-1210 | |
| Mr. James Milton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43839 15th St W, High Desert Medical Group, Lancaster, CA 93534 Phone: 661-945-5984 Fax: 661-951-3192 | |
| Kendall Marie Dillard,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43520 Division St, Lancaster, CA 93535 Phone: 661-266-4783 Fax: 661-266-1210 | |
| Janet Garcia,  Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1652 W Avenue J, Lancaster, CA 93534 Phone: 661-249-6859 | |
| Satwonya Thomas,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 44443 10th St W, Lancaster, CA 93534 Phone: 661-726-2630 |