Provider Demographics
NPI:1497584122
Name:MARCHIOL, LOGAN MICHELLE (LPC)
Entity type:Individual
Prefix:
First Name:LOGAN
Middle Name:MICHELLE
Last Name:MARCHIOL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12760 STROH RANCH WAY STE 103
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-7505
Mailing Address - Country:US
Mailing Address - Phone:720-608-0379
Mailing Address - Fax:
Practice Address - Street 1:12760 STROH RANCH WAY STE 103
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-7505
Practice Address - Country:US
Practice Address - Phone:720-608-0379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-31
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0021363101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor