Individual
LOGAN MARSHALL MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMHC
Contact information
Practice address
2225 CENTRAL AVE STE 3, COLUMBUS, IN 47201-4488
(812) 767-2334
Mailing address
2225 CENTRAL AVE STE 3, COLUMBUS, IN 47201-4488
(812) 767-2334
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004989A
IN
Other
Enumeration date
06/29/2022
Last updated
09/28/2025
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