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Mackenzie Logan, LPC

NPI 1982430286 · on the registry since 2024

Practice

Address: 695 N Perryville Rd Ste 4
Rockford, IL 61107
Phone: (779) 368-0060
Fax: (833) 972-0690
Organisation at this address: Healing Path Of Rockford, Pllc
Advanced Rockford Eye Care Llc
Glaucoma Associates Of Illinois Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: Professional Counselor
101YP2500X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-10-01

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