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Mr. Logan Sebastian Congdon
Counselor in Grand Rapids, Michigan
NPI 1669117057

Logan Sebastian Congdon is a Counselor based in East Grand Rapids, MI. Logan Sebastian Congdon practices in Grand Rapids, MI. The NPI Number for Logan Sebastian Congdon is 1669117057 and holds a License No. (Michigan).

The current practice location address for Logan Sebastian Congdon is 1115 Ball Ave Ne Bldg B, Grand Rapids, MI and can be reached out via phone at 616-451-3001.

Location: 1115 Ball Ave Ne Bldg B, Grand Rapids, MI, 49506-3452
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669117057
Provider Name
Logan Sebastian Congdon
Credential
Provider Entity Type
Individual
Gender
Male
Address
1115 Ball Ave Ne Bldg B, Grand Rapids, MI, 49506-3452
Phone Number
616-451-3001
Fax Number
Provider Enumeration Date
05/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1115 Ball Ave Ne Bldg B
City
Grand Rapids
State
Michigan
Zip
49505-5904
Phone Number
616-451-3001
Fax Number
person
Provider Business Mailing Address Details
Address
1115 Ball Ave Ne Bldg B
City
Grand Rapids
State
Michigan
Zip
49505-5904
Phone Number
616-451-3001
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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