Individual
MRS. JENNIFER D LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D, LCPC
Contact information
Practice address
103 APPALOOSA CIR, GOODFIELD, IL 61742-9300
(309) 360-2268
Mailing address
103 APPALOOSA CIR, GOODFIELD, IL 61742-9300
(309) 360-2268
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178006924
IL
101YP2500X
Professional Counselor
Primary
180012370
IL
Other
Enumeration date
10/12/2012
Last updated
09/10/2020
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