| Logan Thomas Gordon, LAC | |
|
35401 Mission Dr, Saint Ignatius, MT 59865-7791 | |
| (406) 745-3525 | |
| Not Available |
| Full Name | Logan Thomas Gordon |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 35401 Mission Dr, Saint Ignatius, Montana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780299610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | BBH-ACLC-LIC-37537 (Montana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Thomas Gordon, LAC Po Box 880, Saint Ignatius, MT 59865-0880 Ph: (406) 745-3525 | Logan Thomas Gordon, LAC 35401 Mission Dr, Saint Ignatius, MT 59865-7791 Ph: (406) 745-3525 |
Mrs. Patricia Anne Mcclure Buffalo, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 35401 Mission Dr, Saint Ignatius, MT 59865 Phone: 406-745-4363 Fax: 406-745-4409 | |
Mrs. Jeanette K Blythe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 35401 Mission Drive, Saint Ignatius, MT 59865 Phone: 406-745-3525 Fax: 406-745-4409 | |
Kelsea Pelletier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 Home Addition, Saint Ignatius, MT 59865 Phone: 406-273-1449 | |
Sufia West, ACLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 61262 Watson Rd, Saint Ignatius, MT 59865 Phone: 406-381-3962 |