Individual provider · Type 1 NPI

Nicole L. Logan

Addiction (Substance Use Disorder) Counselor · Cleveland, OH

NPI number 1235704552 Active

Practice location

3214 Prospect Ave E
Cleveland, OH 44115-2614

Call (216) 910-9015 Map

Fax (216) 910-9015

Mailing address

34474 Scotch Ln Apt 4
Willoughby Hills, OH 44094-2991

Other practice locations

  • 25201 Chagrin Blvd Ste 390, Beachwood, OH 44122-5637 · (216) 910-9015

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X176200 (OH)

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

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About NPI 1235704552

Nicole L. Logan's National Provider Identifier is 1235704552, issued on May 20, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cleveland, OH. The record was last updated on May 20, 2021.