Individual
MICHELLE LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
6211 BELAIR RD, BALTIMORE, MD 21206-1942
(443) 835-2681
Mailing address
6211 BELAIR RD, BALTIMORE, MD 21206-1942
(443) 835-2681
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC 6024
MD
101YP2500X
Professional Counselor
Primary
LC6024
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13545861
CAQH
—
Enumeration date
08/06/2015
Last updated
01/29/2026
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