Individual provider · Type 1 NPI

Nicole Logan, LCPC

Mental Health Counselor · Frederick, MD

NPI number 1659942480 Active

Practice location

5301 Buckeystown Pike Ste 170
Frederick, MD 21704-8380

Call (240) 575-9688 Map

Mailing address

1003 W 7th St Ste 403
Frederick, MD 21701-8532

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLGP11490 (MD)
Mental Health Counselor Primary 101YM0800XLC13775 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1659942480

Nicole Logan, LCPC's National Provider Identifier is 1659942480, issued on Jul 2, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Frederick, MD. The record was last updated on Aug 9, 2023.