person
Mr. Logan Deane Haefner, MA
Mental Health Counselor in Cullom, Illinois
NPI 1770258139

Logan Deane Haefner is a Mental Health Counselor based in Cullom, IL and is specialized in Mental Health. Logan Deane Haefner practices in Cullom, IL and has the professional credentials of MA. The NPI Number for Logan Deane Haefner is 1770258139 and holds a License No. (Illinois).

The current practice location address for Logan Deane Haefner is 308 W Cleveland St, Cullom, IL and can be reached out via phone at 615-521-1202.

Location: 308 W Cleveland St, Cullom, IL, 60929-7184
person
Provider Profile Details
NPI Number
1770258139
Provider Name
Logan Deane Haefner
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
308 W Cleveland St, Cullom, IL, 60929-7184
Phone Number
615-521-1202
Fax Number
Provider Enumeration Date
08/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
308 W Cleveland St
City
State
Zip
60929-7184
Phone Number
615-521-1202
Fax Number
person
Provider Business Mailing Address Details
Address
308 W Cleveland St
City
State
Zip
60929-7184
Phone Number
615-521-1202
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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