Individual
BETH M LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
280 BENEDICT AVE STE A, NORWALK, OH 44857-2374
(419) 668-0311
(419) 668-0312
Mailing address
272 BENEDICT AVE, NORWALK, OH 44857-2374
(419) 668-0311
(419) 668-0312
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.1800528
OH
101YP2500X
Professional Counselor
C1400398
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3293725
—
OH
Enumeration date
08/20/2015
Last updated
05/05/2023
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