| Logan Rene Nickerson, CADC | |
|
103 Wolf Creek Blvd Ste 2&3, Dover, DE 19901-4967 | |
| (302) 744-8474 | |
| Not Available |
| Full Name | Logan Rene Nickerson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 103 Wolf Creek Blvd Ste 2&3, Dover, Delaware |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487465704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2346 (Delaware) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Rene Nickerson, CADC 114 Logan Dr, Dover, DE 19901-1583 Ph: (302) 505-0384 | Logan Rene Nickerson, CADC 103 Wolf Creek Blvd Ste 2&3, Dover, DE 19901-4967 Ph: (302) 744-8474 |
Mr. Alan Wayne Meluney, LPCMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 1151 Walker Rd, Dover, DE 19904 Phone: 302-674-2380 Fax: 302-674-1299 | |
Timothy Early, Counselor Medicare: Not Enrolled in Medicare Practice Location: 884 Walker Rd Ste B, Dover, DE 19904 Phone: 302-678-4911 Fax: 302-678-4948 | |
Mrs. Melissa Kaye Tooles, LPCMH, NCC, MCC, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2040 Sycamore Ct, Unit 4, Dover, DE 19901 Phone: 410-262-3058 | |
Cynthia Prange, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1609 S State St, Dover, DE 19901 Phone: 302-257-3135 | |
Lesmine London Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 429 S New St, Dover, DE 19904 Phone: 302-504-8500 | |
Michelle Ericksen, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 156 S State St, Dover, DE 19901 Phone: 302-674-2380 Fax: 302-674-1299 | |
Larence Kirby, LPCMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 S State St, Dover, DE 19901 Phone: 302-213-3121 |