Provider Demographics
NPI:1225465586
Name:LOGGANS, DAVID MARTIN II (LPC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:MARTIN
Last Name:LOGGANS
Suffix:II
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2704 N OAK ST BLDG J
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-1768
Mailing Address - Country:US
Mailing Address - Phone:229-262-7333
Mailing Address - Fax:229-262-7335
Practice Address - Street 1:2704 N OAK ST BLDG J
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-1768
Practice Address - Country:US
Practice Address - Phone:229-262-7333
Practice Address - Fax:229-262-7335
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC013510101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health