| Logan Counseling Inc. | |
|
2917 N Main St Rockford IL 61103-3120 | |
| (815) 316-2621 | |
| Not Available |
| Full Name | Logan Counseling Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2917 N Main St, Rockford, Illinois |
| Authorized Official Name and Position | Julie Ann Logan (CO-OWNER) |
| Authorized Official Contact | 8153162621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Counseling Inc. 2917 N Main St Rockford IL 61103-3120 Ph: (815) 316-2621 | Logan Counseling Inc. 2917 N Main St Rockford IL 61103-3120 Ph: (815) 316-2621 |
| NPI Number | 1275548968 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 02/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275548968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
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