Aubrey Logan | Phoenix, AZ • PECOS Search

Aubrey Logan

Counselor

Behavioral Health & Social Service Providers

3420 E Shea Blvd Ste 188, Phoenix, AZ 85028-3354

PECOS Enrollment

Based on the most recent information from CMS, provider Aubrey Logan does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1811530470
Provider Type
Individual
Full Name
Logan, Aubrey
Credential
LPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/25/2019
Last Updated
10/25/2019

Contact Information

Practice Location

3420 E Shea Blvd Ste 188, Phoenix, AZ 85028-3354

Unlisted Fax

Mailing Location

3420 E Shea Blvd Ste 188, Phoenix, AZ 85028-3354

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 18299 Arizona