person
Mrs. Kim Janisse Logan, PHD,LPC,BCPC
Professional Counselor in Detroit, Michigan
NPI 1841470556

Kim Janisse Logan is a Professional Counselor based in Detroit, MI and is specialized in Professional. Kim Janisse Logan practices in Detroit, MI and has the professional credentials of PHD,LPC,BCPC. The NPI Number for Kim Janisse Logan is 1841470556 and holds a License No. L2437318 (Michigan).

The current practice location address for Kim Janisse Logan is 3011 W. Grand Blvd., Detroit, MI and can be reached out via phone at 313-664-4900 and via fax at 313-664-4901.

Location: 3011 W. Grand Blvd., Detroit, MI, 48202-3011
person
Provider Profile Details
NPI Number
1841470556
Provider Name
Kim Janisse Logan
Credential
PHD,LPC,BCPC
Provider Entity Type
Individual
Gender
Female
Address
3011 W. Grand Blvd., Detroit, MI, 48202-3011
Phone Number
313-664-4900
Fax Number
313-664-4901
Provider Enumeration Date
11/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3011 W. Grand Blvd.
City
State
Zip
48202-3011
Phone Number
313-664-4900
Fax Number
313-664-4901
person
Provider Business Mailing Address Details
Address
3011 W. Grand Blvd.
City
State
Zip
48202-3011
Phone Number
313-664-4900
Fax Number
313-664-4901
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
L2437318 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
L2437318 (Michigan)
Definition
Definition to come...
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