Individual provider · Type 1 NPI

Jacqueline Logan, LPC

Professional Counselor · Decatur, GA

NPI number 1710257548 Active

Practice location

108 E Ponce De Leon Ave Ste 204
Decatur, GA 30030-2512

Call (404) 382-8788 Map

Mailing address

PO Box 373119
Decatur, GA 30037-3119

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC006564 (GA)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1710257548

Jacqueline Logan, LPC's National Provider Identifier is 1710257548, issued on Jan 10, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Decatur, GA. The record was last updated on Mar 30, 2018.