Search › California › 1041C0700X
Logan Brantley, LCSW
NPI 1588143978 · on the registry since 2018 · sole proprietor
Practice
- Address
- 655 Tourmaline St Apt 5h
San Diego, CA 92109 - Phone
- (919) 334-8885
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041S0200X
- Licence states on file
- DC, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-26
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 California