Organization
LOGAN PROFESSIONAL COUNSELING SERVICES
Active
Other names
Logan Professional Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MEADE M.ED (OWNER)
(304) 688-9269
Entity
Organization
Contact information
Practice address
101 DINGESS ST, LOGAN, WV 25601-3603
(304) 688-9269
(681) 495-1522
Mailing address
710 STRATTON ST, LOGAN, WV 25601-4015
(304) 688-9269
(681) 495-1522
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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