Jacobs, Logan

Jacobs, Logan is an individual health care provider with primary practice located at 510 Vonderburg Dr Ste 301 , Brandon FL 33511-6072. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Jacobs, Logan can be contacted via phone (813) 881-1000.

Contact Information

Primary practice address
510 Vonderburg Dr Ste 301 Brandon FL 33511-6072
Phone: (813) 881-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ISW17410 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1447997002
LBN Legal business name Jacobs, Logan
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2022
Last updated Jun 29th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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