Individual provider · Type 1 NPI

Jeorge L. Logan, LCDCIIII

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1699127977 Active

Practice location

601 S Edwin C Moses Blvd
Dayton, OH 45417-3424

Call (937) 734-8333 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCDC.151219-3 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1699127977

Jeorge L. Logan, LCDCIIII's National Provider Identifier is 1699127977, issued on Jul 11, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Jul 11, 2016.