Individual provider · Type 1 NPI

Mackenzie Anne Logan, LPC

Professional Counselor · Rockford, IL

NPI number 1982430286 Active

Practice location

695 N Perryville Rd Ste 4
Rockford, IL 61107-6225

Fax (833) 972-0690

Mailing address

5076 Hermitage Trl
Rockford, IL 61114-7088

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178.020561 (IL)

Professional Counselor: Definition to come...

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About NPI 1982430286

Mackenzie Anne Logan, LPC's National Provider Identifier is 1982430286, issued on Sep 12, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rockford, IL. The record was last updated on Oct 1, 2024.