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Individual
JALINIA LOGAN
Active
Individual
JALINIA LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
149021972
IL
164W00000X
Licensed Practical Nurse
043105752
IL
174H00000X
Health Educator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27-4113346
GREAT CHANGES COUNSELING SERVICES
IL
Enumeration date
01/15/2020
Last updated
03/16/2020
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