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Logan Green
Mental Health Counselor in North Aurora, Illinois
NPI 1528720703

Logan Green is a Mental Health Counselor based in Elgin, IL and is specialized in Mental Health. Logan Green practices in North Aurora, IL. The NPI Number for Logan Green is 1528720703 and holds a License No. (Illinois).

The current practice location address for Logan Green is 106 S Lincolnway Ste A, North Aurora, IL and can be reached out via phone at 815-757-7966.

Location: 106 S Lincolnway Ste A, North Aurora, IL, 60120-3102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528720703
Provider Name
Logan Green
Credential
Provider Entity Type
Individual
Gender
Male
Address
106 S Lincolnway Ste A, North Aurora, IL, 60120-3102
Phone Number
815-757-7966
Fax Number
Provider Enumeration Date
10/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
106 S Lincolnway Ste A
City
North Aurora
State
Illinois
Zip
60542-1597
Phone Number
815-757-7966
Fax Number
person
Provider Business Mailing Address Details
Address
106 S Lincolnway Ste A
City
North Aurora
State
Illinois
Zip
60542-1597
Phone Number
815-757-7966
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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