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Ms. Jennifer D Logan, LPC
Professional Counselor in Austell, Georgia
NPI 1700560406

Jennifer D Logan is a Professional Counselor based in Marietta, GA and is specialized in Professional. Jennifer D Logan practices in Austell, GA and has the professional credentials of LPC. The NPI Number for Jennifer D Logan is 1700560406 and holds a License No. 014008 (Georgia).

The current practice location address for Jennifer D Logan is 6133 Love St, Austell, GA and can be reached out via phone at 678-718-5618.

Location: 6133 Love St, Austell, GA, 30066-0119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700560406
Provider Name
Jennifer D Logan
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
6133 Love St, Austell, GA, 30066-0119
Phone Number
678-718-5618
Fax Number
Provider Enumeration Date
06/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6133 Love St
City
Austell
State
Georgia
Zip
30168-4711
Phone Number
678-718-5618
Fax Number
person
Provider Business Mailing Address Details
Address
6133 Love St
City
Austell
State
Georgia
Zip
30168-4711
Phone Number
678-718-5618
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
014008 (Georgia)
Definition
Definition to come...
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