Individual
MRS. JENNIFER MONETTE LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3038 W DARK SKY ST, KUNA, ID 83634-5096
(805) 870-5715
Mailing address
3038 W DARK SKY ST, KUNA, ID 83634-5096
(805) 870-5715
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
84397
CA
Other
Enumeration date
10/29/2012
Last updated
02/09/2023
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