Individual provider · Type 1 NPI

Logan Olivia Wilder-Ingram

Professional Counselor · Hamilton, OH

NPI number 1760908263 Active

Practice location

1910 Fairgrove Ave
Hamilton, OH 45011-1930

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XE.2505581 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400XLCDCIII.161933 (OH)
Mental Health Counselor 101YM0800XC.2204204 (OH)
Mental Health Counselor 101YM0800XC.2204204 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400XCDCA.167891 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400XLICDC.162260 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400XCDCA.164220 (OH)

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About NPI 1760908263

Logan Olivia Wilder-Ingram's National Provider Identifier is 1760908263, issued on Aug 16, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hamilton, OH. The record was last updated on Oct 20, 2025.