Individual provider · Type 1 NPI

Jennifer Logue

Mental Health Counselor · Greenville, IL

NPI number 1609208388 Active

Practice location

1520 S 4th St
Greenville, IL 62246-2618

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1609208388

Jennifer Logue's National Provider Identifier is 1609208388, issued on Aug 5, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Greenville, IL. The record was last updated on Aug 5, 2013.