Individual provider · Type 1 NPI
Mariah Lyn Logan, LPC, LCPC
Professional Counselor · Creve Coeur, MO
NPI number
1306474549
Active
Practice location
11500 Olive Blvd Ste 176
Creve Coeur, MO 63141-7147
Fax (618) 205-3561
Mailing address
207 Glen Meadow Rd
Franklin, MA 02038-1341
Other practice locations
- 19 Cedar St, Taunton, MA 02780-3301 · (508) 823-6124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2023048395 (MO) |
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor | 101YP2500X | 180.014691 (IL) |
Professional Counselor: Definition to come...
2 other providers at this address
Other professional counselor providers in Creve Coeur
- Tim Gravier, LPCProfessional Counselor Creve Coeur, MO NPI 1013515725
- Cassadi Christenson, LCPProfessional Counselor Creve Coeur, MO NPI 1134055452
- Stephanie Whitney Jategaonkar, MA, LPC, ATR-BCProfessional Counselor Creve Coeur, MO NPI 1144394271
- Stacey Nentwig Greer, M.ED.Professional Counselor Creve Coeur, MO NPI 1184773285
- Astrid Edens Endsley, M.S., PLPCProfessional Counselor Creve Coeur, MO NPI 1205751377
- Kristy Wakefield Barnes, MS, LPCProfessional Counselor Creve Coeur, MO NPI 1215417084
- Shelley Stretch, LPCProfessional Counselor Creve Coeur, MO NPI 1225436959
- Sterling Webster, PLPCProfessional Counselor Creve Coeur, MO NPI 1235058165
About NPI 1306474549
Mariah Lyn Logan, LPC, LCPC's National Provider Identifier is 1306474549, issued on Apr 1, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Creve Coeur, MO. The record was last updated on Mar 15, 2024.