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General NPI Number Information
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NPI Number | 1770143554
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Entity Type | Individual
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Provider Name | LOGAN A HAMEL LPC, LMHC
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Gender | Female
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Dates
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Enumeration Date | 06/14/2019
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Last Update Date | 10/02/2023
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Provider Practice Location Address
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Address Line | 2222 W GRAND RIVER AVE STE A
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City | OKEMOS
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State | MI
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Zip | 48864-1604
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Country | US
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Telephone | 248-247-2033
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Fax |
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Provider Business Mailing Address
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Address Line | 8455 ROLLINS AVE NE
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City | ROCKFORD
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State | MI
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Zip | 49341-9424
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Country | US
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Telephone | 419-329-0465
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401223509
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MHC01148
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License Number State | RI
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