Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JENNIFER D LOGAN, PH.D, LCPC
ActiveMRS. JENNIFER D LOGAN, PH.D, LCPC is a Professional Counselor healthcare provider located in GOODFIELD, Illinois. NPI 1124370226 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · GOODFIELD, IL
Registration Details
- NPI Number
- 1124370226
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 12, 2012 (13.813364244968 yrs)
- Last Updated
- Sep 10, 2020
- Licenses
-
178006924 (IL)180012370 (IL)
Practice Information
- Address
-
103 APPALOOSA CIRGOODFIELD, IL, 617429300Browse IL providers · Browse ZIP 61742
- Phone
- 3093602268
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.