Logan, Diane

Logan, Diane is an individual health care provider with primary practice located at 75-5751 Kuakini Hwy Ste 104 , Kailua Kona HI 96740-1705. She 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Logan, Diane can be contacted via phone (808) 326-5629.

Contact Information

Primary practice address
75-5751 Kuakini Hwy Ste 104 Kailua Kona HI 96740-1705
Phone: (808) 326-5629
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2055-19 Hawaii
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2055-19I Hawaii
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-1550 Hawaii

Profile Details

NPI number 1003207259
LBN Legal business name Logan, Diane
Credentials PHD, CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2015
Last updated Mar 15th, 2020 - about 6 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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