Individual provider · Type 1 NPI

Logan Green

Mental Health Counselor · North Aurora, IL

NPI number 1528720703 Active

Practice location

106 S Lincolnway Ste A
North Aurora, IL 60542-1597

Call (815) 757-7966 Map

Mailing address

1021 N Mulford Rd
Rockford, IL 61107-3874

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1528720703

Logan Green's National Provider Identifier is 1528720703, issued on Oct 6, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in North Aurora, IL. The record was last updated on Dec 9, 2025.