Individual
LOGAN VANDEMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7941 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1953
(260) 442-9540
Mailing address
7941 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1953
(260) 442-9540
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/19/2022
Last updated
06/03/2025
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