Individual provider · Type 1 NPI

Logan Thomas Gordon, LAC

Addiction (Substance Use Disorder) Counselor · St. Ignatius, MT

NPI number 1780299610 Active

Practice location

35401 Mission Dr
St. Ignatius, MT 59865-7791

Call (406) 745-3525 Map

Mailing address

PO Box 880
St. Ignatius, MT 59865-0880

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XBBH-ACLC-LIC-37537 (MT)

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

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About NPI 1780299610

Logan Thomas Gordon, LAC's National Provider Identifier is 1780299610, issued on Sep 8, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Ignatius, MT. The record was last updated on Apr 22, 2024.