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Logan Spicer
Professional Counselor in Westchester, Illinois
NPI 1770140949

Logan Spicer is a Professional Counselor based in Chicago, IL and is specialized in Professional. Logan Spicer practices in Westchester, IL. The NPI Number for Logan Spicer is 1770140949 and holds a License No. NONE (Illinois).

The current practice location address for Logan Spicer is 9855 W Roosevelt Rd, Westchester, IL and can be reached out via phone at 708-681-2325.

Location: 9855 W Roosevelt Rd, Westchester, IL, 60616-4967
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770140949
Provider Name
Logan Spicer
Credential
Provider Entity Type
Individual
Gender
Female
Address
9855 W Roosevelt Rd, Westchester, IL, 60616-4967
Phone Number
708-681-2325
Fax Number
Provider Enumeration Date
05/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9855 W Roosevelt Rd
City
Westchester
State
Illinois
Zip
60154-2758
Phone Number
708-681-2325
Fax Number
person
Provider Business Mailing Address Details
Address
9855 W Roosevelt Rd
City
Westchester
State
Illinois
Zip
60154-2758
Phone Number
708-681-2325
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
180015338 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
NONE ()
Definition
Definition to come...
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