Individual
MS. JENNIFER D LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6133 LOVE ST, AUSTELL, GA 30168-4711
(678) 718-5618
Mailing address
PO BOX 670121, MARIETTA, GA 30066-0119
(770) 851-8043
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
014008
GA
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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