Individual
MR. LOGAN MOWDER COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
202 E BAGLEY RD, BEREA, OH 44017-2058
(440) 260-8300
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 234-2006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C. 1600283-TRNE
OH
101YP2500X
Professional Counselor
Primary
C.1600283
OH
Other
Enumeration date
06/29/2016
Last updated
02/14/2020
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