Individual provider · Type 1 NPI
Logan Wissing
Professional Counselor · Moline, IL
NPI number
1639059496
Active
Practice location
1187 27th St
Moline, IL 61265-2316
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.017429 (IL) |
Professional Counselor: Definition to come...
2 other providers at this address
Other professional counselor providers in Moline
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About NPI 1639059496
Logan Wissing's National Provider Identifier is 1639059496, issued on Sep 3, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Moline, IL. The record was last updated on Sep 3, 2025.