LOGAN THOMAS GORDON LAC NPI 1780299610

NPI Information

NPI: 1780299610
Provider Name: LOGAN THOMAS GORDON, LAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
308 MISSION DR
SAINT IGNATIUS, MT
ZIP 59865
Phone: (406) 745-3525
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Logan Thomas Gordon, LAC is an addiction (substance use disorder) counselor in Saint Ignatius, MT. Logan Thomas Gordon, LAC NPI is 1780299610. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

308 MISSION DR
SAINT IGNATIUS, MT
ZIP 59865-676
Phone: (406) 745-3525
Fax: (406) 745-4409

The enumeration date for this NPI number is 9/8/2020 and was last updated on 9/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	BBH-ACLC-LIC-37537	MONTANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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