Individual
LOGAN MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC-C
Contact information
Practice address
1510 STATE ST, VEAZIE, ME 04401-7001
(207) 404-4596
Mailing address
1510 STATE ST, VEAZIE, ME 04401-7001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL4564
ME
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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