Individual provider · Type 1 NPI

Logan Spicer

Professional Counselor · Westchester, IL

NPI number 1770140949 Active

Practice location

9855 W Roosevelt Rd
Westchester, IL 60154-2758

Call (708) 681-2325 Map

Mailing address

3123 S Shields Ave Apt Bsmt
Chicago, IL 60616-4967

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNONE
Professional Counselor Primary 101YP2500X180015338 (IL)

Professional Counselor: Definition to come...

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About NPI 1770140949

Logan Spicer's National Provider Identifier is 1770140949, issued on May 23, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Westchester, IL. The record was last updated on Aug 22, 2023.