SearchIllinois101YP2500X

Jennifer Logan, PH.D, LCPC

NPI 1124370226 · on the registry since 2012

Practice

Address
103 Appaloosa Cir
Goodfield, IL 61742
Phone
(309) 360-2268

Additional practice sites

  • 229 Martin Ave, Canton, IL

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-09-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois