Jennifer Logston Counseling Ltd | |
5010 Fairview Ave Ste 5 Downers Grove IL 60515-5201 | |
(630) 528-8855 | |
(630) 541-6557 |
Full Name | Jennifer Logston Counseling Ltd |
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Speciality | Social Worker |
Location | 5010 Fairview Ave Ste 5, Downers Grove, Illinois |
Authorized Official Name and Position | Jennifer Keely Logston (PRESIDENT) |
Authorized Official Contact | 6305288885 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jennifer Logston Counseling Ltd 900 Ogden Ave # 112 Downers Grove IL 60515-2829 Ph: (630) 528-8855 | Jennifer Logston Counseling Ltd 5010 Fairview Ave Ste 5 Downers Grove IL 60515-5201 Ph: (630) 528-8855 |
NPI Number | 1548706005 |
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Provider Enumeration Date | 01/09/2017 |
Last Update Date | 06/10/2024 |
Certification Date | 06/10/2024 |
Medicare PECOS PAC ID | 2769768811 |
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Medicare Enrollment ID | O20170404001865 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548706005 | NPI | - | NPPES |
Provider Name | Jennifer Keely Logston |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841304094 PECOS PAC ID: 6305122458 Enrollment ID: I20170404001927 |
Provider Name | Arlene Ross Langley |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841389954 PECOS PAC ID: 8123105103 Enrollment ID: I20191009001745 |
Provider Name | Meghan Cepek |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1598363368 PECOS PAC ID: 8820434749 Enrollment ID: I20240313002415 |
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