Provider Demographics
NPI:1700153350
Name:LOGAN, FRANCES ECHEVERRIA (MS)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:ECHEVERRIA
Last Name:LOGAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:PATRICIA LEE
Other - Last Name:ECHEVERRIA NEILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:PO BOX 3264
Mailing Address - Street 2:
Mailing Address - City:PINEDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93650-3264
Mailing Address - Country:US
Mailing Address - Phone:595-341-3683
Mailing Address - Fax:
Practice Address - Street 1:5151 N PALM AVE STE 200
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93704-2221
Practice Address - Country:US
Practice Address - Phone:595-341-3683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-28
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA84720106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist