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Logan Olivia Wilder-ingram
Professional Counselor in Dayton, Ohio
NPI 1760908263

Logan Olivia Wilder-ingram is a Professional Counselor based in Cincinnati, OH and is specialized in Professional. Logan Olivia Wilder-ingram practices in Dayton, OH. The NPI Number for Logan Olivia Wilder-ingram is 1760908263 and holds a License No. LCDCIII.161933 (Ohio).

The current practice location address for Logan Olivia Wilder-ingram is 1 Elizabeth Pl, Dayton, OH and can be reached out via phone at 937-813-1737.

Location: 1 Elizabeth Pl, Dayton, OH, 45247-7958
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Provider Profile Details
NPI Number
1760908263
Provider Name
Logan Olivia Wilder-ingram
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Elizabeth Pl, Dayton, OH, 45247-7958
Phone Number
937-813-1737
Fax Number
Provider Enumeration Date
08/16/2017
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0443789 05 OH
institution
Provider Business Practice Location Address Details
Address
1 Elizabeth Pl
City
State
Zip
45417-3445
Phone Number
937-813-1737
Fax Number
person
Provider Business Mailing Address Details
Address
1 Elizabeth Pl
City
State
Zip
45417-3445
Phone Number
937-813-1737
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDCA.167891 (Ohio)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LICDC.162260 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCDCIII.161933 (Ohio)
Definition
Definition to come...
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