Individual provider · Type 1 NPI

Logan Kermicle, LPN

Mental Health Counselor · Lawrenceville, IL

NPI number 1144739194 Active

Practice location

11020 State Route 250
Lawrenceville, IL 62439

Call (618) 943-3654 Map

Fax (618) 943-3657

Mailing address

P.o. Box 516, 11020 State Route 250
Lawrenceville, IL 62439

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

18 other providers at this address

Other mental health counselor providers in Lawrenceville

See all in Lawrenceville →

About NPI 1144739194

Logan Kermicle, LPN's National Provider Identifier is 1144739194, issued on Sep 21, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lawrenceville, IL. The record was last updated on Sep 21, 2017.