Logan, Jesse Thomas

Logan, Jesse Thomas is an individual health care provider with primary practice located at 8901 Wisconsin Ave Bldg. 19, 6504, Bethesda MD 20889-5600. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Logan, Jesse Thomas can be contacted via phone (301) 400-1928.

Contact Information

Primary practice address
8901 Wisconsin Ave Bldg. 19, 6504 Bethesda MD 20889-5600
Phone: (301) 400-1928
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X LC2001 Maryland
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LCM422 Maryland

Profile Details

NPI number 1609930395
LBN Legal business name Logan, Jesse Thomas
Credentials LCMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Oct 28th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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