Logan Christopher Bengston, LMFT Valid NPI
Individual provider · Marriage & Family Therapist · Fort Bragg, CA
- NPI
- 1457870966
- Type
- Individual (Type 1)
- Primary specialty
- Marriage & Family Therapist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106H00000X
- License number
- 115751 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2017-09-15
- Last updated
- 2019-10-07
Practice location
544 S Main St
Fort Bragg, CA 95437-5107
(707) 961-0115