Individual
LOGAN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
2220 WEALTHY ST SE, GRAND RAPIDS, MI 49506-3016
(616) 277-7533
Mailing address
925 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49504-5642
(231) 670-1221
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451024366
MI
Other
Enumeration date
05/26/2020
Last updated
07/01/2025
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