Doctor Name: | LOGAN MARSH LAMPRECHT |
NPI Number: | 1033429899 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PC, M. COUNSELING |
License Number: | NCC-225208 |
Business Practice Address: | 77 Milford Dr Ste 218 Hudson, OH - 442362779 |
Business Phone Number: | 3306504423 |
Business Fax Number: | |
Mailing Address: | 1054 Munroe Falls Kent Rd, KENT |
State: | OH |
Postal Code: | 442403314 |
Phone Number: | 2083391279 |
Fax Number: | |
NPI Enumeration Date: | 10/14/2010 |
NPI Last Update Date: | 10/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | NCC-225208 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |