Logan Kermicle, LPN

NPI #1144739194 in Lawrenceville, Illinois

Provider Information

NPI Number: 1144739194
Entity Type: Individual
Name: Logan Kermicle, LPN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LPN
Enumeration Date: Sep 21, 2017
Last Updated: Sep 21, 2017

Practice Location

Address: 11020 STATE ROUTE 250
City: Lawrenceville
State: Illinois
ZIP Code: 62439
Phone: (618) 943-3654

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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