Individual provider · Type 1 NPI

Logan Stump

Addiction (Substance Use Disorder) Counselor · Cleveland, OH

NPI number 1336985084 Active

Practice location

3214 Prospect Ave E
Cleveland, OH 44115-2614

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.189129
Case Manager/Care Coordinator 171M00000XNone listed

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About NPI 1336985084

Logan Stump's National Provider Identifier is 1336985084, issued on Jul 2, 2024. 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 Apr 1, 2025.