Jennifer Logue
NPI #1609208388 in Greenville, Illinois
Provider Information
- NPI Number
- 1609208388
- Entity Type
- Individual
- Name
- Jennifer Logue
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Aug 5, 2013
- Last Updated
- Aug 5, 2013
Practice Location
- Address
- 1520 S 4TH ST
- City
- Greenville
- State
- Illinois
- ZIP Code
- 62246-2618
- Phone
- (618) 664-1455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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