Individual provider · Type 1 NPI

Logan Grillot

Mental Health Counselor · Columbia, SC

NPI number 1649307349 Active

Practice location

3809 Rosewood Dr
Columbia, SC 29205-3533

Mailing address

304 Crosscreek Ct
Columbia, SC 29212-1422

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1649307349

Logan Grillot's National Provider Identifier is 1649307349, issued on Feb 28, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbia, SC. The record was last updated on Jul 8, 2007.