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Individual

DR. LOGAN MARSH LAMPRECHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., LCPC, M. COUN

Contact information

Practice address
533 E RIVERSIDE DR # 120533E, EAGLE, ID 83616-6095
(208) 339-1279
Mailing address
533 E RIVERSIDE DR # 120533E, EAGLE, ID 83616-6095
(208) 339-1279

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LCPC6784
ID
101YM0800X
Mental Health Counselor
Primary
6784
ID
101YM0800X
Mental Health Counselor
C.0700919
OH
101YM0800X
Mental Health Counselor
NCC-225208
ID
101YP2500X
Professional Counselor
6784
ID

Other

Enumeration date
10/14/2010
Last updated
03/14/2024
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