| Log Cabin Counseling | |
|
12255 Lodge Rd Middlesex NC 27557-7452 | |
| (512) 635-3544 | |
| Not Available |
| Full Name | Log Cabin Counseling |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 12255 Lodge Rd, Middlesex, North Carolina |
| Authorized Official Name and Position | Roger David Heeren (OWNER/THERAPIST) |
| Authorized Official Contact | 5126353544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Log Cabin Counseling 12255 Lodge Rd Middlesex NC 27557-7452 Ph: (512) 635-3544 | Log Cabin Counseling 12255 Lodge Rd Middlesex NC 27557-7452 Ph: (512) 635-3544 |
| NPI Number | 1093609109 |
|---|---|
| Provider Enumeration Date | 06/04/2025 |
| Last Update Date | 06/04/2025 |
| Certification Date | 06/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093609109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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