| Kim Loggains Lpc Pllc | |
|
1301 S Broadway Ave Ste 2 Poteau OK 74953-5268 | |
| (918) 839-4695 | |
| Not Available |
| Full Name | Kim Loggains Lpc Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1301 S Broadway Ave Ste 2, Poteau, Oklahoma |
| Authorized Official Name and Position | Kim Loggains (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9188394695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Loggains Lpc Pllc 23611 Wolf Vly Wister OK 74966-2945 Ph: (918) 839-4695 | Kim Loggains Lpc Pllc 1301 S Broadway Ave Ste 2 Poteau OK 74953-5268 Ph: (918) 839-4695 |
| NPI Number | 1467967612 |
|---|---|
| Provider Enumeration Date | 12/11/2017 |
| Last Update Date | 12/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467967612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5992 (Oklahoma) | Primary |
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