| Logan Professional Counseling Services | |
|
101 Dingess St Logan WV 25601-3603 | |
| (304) 688-9269 | |
| (681) 495-1522 |
| Full Name | Logan Professional Counseling Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 101 Dingess St, Logan, West Virginia |
| Authorized Official Name and Position | Lisa Dale Meade (COUNSELOR) |
| Authorized Official Contact | 3046887028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Professional Counseling Services 710 Stratton St Logan WV 25601-4015 Ph: (304) 688-7028 | Logan Professional Counseling Services 101 Dingess St Logan WV 25601-3603 Ph: (304) 688-9269 |
| NPI Number | 1891347704 |
|---|---|
| Provider Enumeration Date | 07/10/2019 |
| Last Update Date | 02/25/2022 |
| Certification Date | 02/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891347704 | NPI | - | NPPES |
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