Individual provider · Type 1 NPI
Logan White Tijerina, M.A., LPC
Professional Counselor · Lake Charles, LA
NPI number
1104793124
Active
Practice location
1541 Belfield Rd
Lake Charles, LA 70611-4715
Fax (337) 270-9427
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 8627 (LA) |
Professional Counselor: Definition to come...
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About NPI 1104793124
Logan White Tijerina, M.A., LPC's National Provider Identifier is 1104793124, issued on Oct 22, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lake Charles, LA. The record was last updated on Oct 22, 2025.