Jennifer Ann Logan, LPC
Counselor in Troy, MI. Individual provider (NPI-1).
NPI number1982339842
StatusActive
Last updated in NPPESOct 17, 2024
Details
- NPI
- 1982339842
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Ann Logan
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 23, 2022
- Certification date
- Oct 17, 2024
- Last updated
- Oct 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 6401224586 | MI | Yes |
| 101Y00000X | Counselor | 6451022296 | MI |
Practice location
89 W South BlvdTroy, MI 48085-1611
Phone 248-963-1916
Mailing address
2379 Belmont CtTroy, MI 48098-2352
Phone 248-227-3455
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