Individual
LOGAN WAIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 HAMPTON AVE STE 200, SAINT LOUIS, MO 63139-3163
(314) 668-2804
Mailing address
1300 HAMPTON AVE STE 200, SAINT LOUIS, MO 63139-3163
(314) 668-2804
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2024003772
MO
Other
Enumeration date
10/22/2018
Last updated
01/22/2025
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