Individual provider · Type 1 NPI

Logan M. Pence, LICDC

Addiction (Substance Use Disorder) Counselor · Eaton, OH

NPI number 1104065564 Active

Practice location

228 N Barron St
Eaton, OH 45320-1704

Call (937) 456-7694 Map

Fax (937) 456-7753

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X943841 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104065564

Logan M. Pence, LICDC's National Provider Identifier is 1104065564, issued on Feb 9, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Eaton, OH. The record was last updated on Feb 9, 2009.