Individual provider · Type 1 NPI

Bryce M. Logsdon, MHP

Mental Health Counselor · Pontiac, IL

NPI number 1528782091 Active

Practice location

920 W Custer Ave
Pontiac, IL 61764-1067

Fax (815) 844-3561

Mailing address

PO Box 768
Pontiac, IL 61764-0768

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1528782091

Bryce M. Logsdon, MHP's National Provider Identifier is 1528782091, issued on Sep 28, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pontiac, IL. The record was last updated on Sep 28, 2022.