Individual provider · Type 1 NPI

Logan Waight

Professional Counselor · St. Louis, MO

NPI number 1174099725 Active

Practice location

1300 Hampton Ave Ste 200
St. Louis, MO 63139-3163

Call (314) 668-2804 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2026044598 (MO)

Professional Counselor: Definition to come...

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About NPI 1174099725

Logan Waight's National Provider Identifier is 1174099725, issued on Oct 22, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Louis, MO. The record was last updated on Sep 14, 2026.