Individual provider · Type 1 NPI
Jennifer D. Logan, PhD, LCPC
Professional Counselor · Goodfield, IL
NPI number
1124370226
Active
Practice location
103 Appaloosa Cir
Goodfield, IL 61742-9300
Other practice locations
- 229 Martin Ave, Canton, IL 61520-2520 · (309) 647-1881
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 178006924 (IL) |
| Professional Counselor Primary | 101YP2500X | 180012370 (IL) |
Professional Counselor: Definition to come...
About NPI 1124370226
Jennifer D. Logan, PhD, LCPC's National Provider Identifier is 1124370226, issued on Oct 12, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Goodfield, IL. The record was last updated on Sep 10, 2020.