Logan Valentine
NPI 1427583392 · on the registry since 2017 · sole proprietor
Practice
- Address
- 6612 S 3200 W
Benjamin, UT 84660 - Phone
- (801) 798-7700
- Fax
- (801) 798-5476
- Organisation at this address
- Maple Lake Academy For Boys
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-04-27
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah