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Individual

JENNIFER ANN LOGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
89 W SOUTH BLVD, TROY, MI 48085-1611
(248) 963-1916
Mailing address
2379 BELMONT CT, TROY, MI 48098-2352
(248) 227-3455

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401224586
MI
101Y00000X
Counselor
6451022296
MI

Other

Enumeration date
07/23/2022
Last updated
10/17/2024
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