Mr Logan Deane Haefner, MA - Counselor in Cullom, IL

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Mr Logan Deane Haefner, MA is a Counselor - Mental Health based in Cullom, Illinois. Mr Logan Deane Haefner is licensed to practice in * (Not Available) (license number ) and his current practice location is 308 W Cleveland St, Cullom, Illinois. He can be reached at his office (for appointments etc.) via phone at (615) 521-1202.

NPI number for Mr Logan Deane Haefner is 1770258139 and his current mailing address is 308 W Cleveland St, Cullom, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770258139.

Contact Information

Mr Logan Deane Haefner, MA
308 W Cleveland St,
Cullom, IL 60929-7184
(615) 521-1202
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Logan Deane Haefner
GenderMale
SpecialityCounselor - Mental Health
Location308 W Cleveland St, Cullom, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1770258139
  • Provider Enumeration Date: 08/09/2021
  • Last Update Date: 04/26/2023

Medical Identifiers

Medical identifiers for Mr Logan Deane Haefner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770258139NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Logan Deane Haefner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Logan Deane Haefner, MA
308 W Cleveland St,
Cullom, IL 60929-7184

Ph: () -		Mr Logan Deane Haefner, MA
308 W Cleveland St,
Cullom, IL 60929-7184

Ph: (615) 521-1202

Reviews and Comments


Counselor in Cullom, IL


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