| Logan Kermicle, LPN | |
|
11020 State Route 250, Lawrenceville, IL 62439 | |
| (618) 943-3654 | |
| (618) 943-3657 |
| Full Name | Logan Kermicle |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 11020 State Route 250, Lawrenceville, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144739194 | NPI | - | NPPES |
| 376006178008 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Kermicle, LPN P.o. Box 516, 11020 State Route 250, Lawrenceville, IL 62439 Ph: (618) 943-3754 | Logan Kermicle, LPN 11020 State Route 250, Lawrenceville, IL 62439 Ph: (618) 943-3654 |
Anne Elizabeth Zuber, Counselor Medicare: Not Enrolled in Medicare Practice Location: Rr 3 Box 430, Lawrenceville, IL 62439 Phone: 618-943-2901 | |
Shambly Dawn Sorrells, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2101 James St, Lawrenceville, IL 62439 Phone: 618-943-3302 | |
Carrie Parker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Olive St, Lawrenceville, IL 62439 Phone: 618-943-3451 | |
Kayla Grace Peternel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2101 James St, Lawrenceville, IL 62439 Phone: 618-943-3302 | |
Kristina Bates, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2101 James St, Lawrenceville, IL 62439 Phone: 618-943-3302 | |
Ms. Heather Blasingame, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Olive St, Lawrenceville, IL 62439 Phone: 618-943-3451 Fax: 618-943-4368 | |
Mitzi R Kurtz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2101 James St, Lawrenceville, IL 62439 Phone: 618-943-3302 |