MRS. Mackenzie Anne Logan, LPC

NPI #1982430286 in Rockford, Illinois

Provider Information

NPI Number
1982430286
Entity Type
Individual
Name
MRS. Mackenzie Anne Logan, LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Sep 12, 2024
Last Updated
Oct 1, 2024

Practice Location

Address
695 N PERRYVILLE RD STE 4
ZIP Code
61107-6225
Phone
(779) 368-0060

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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