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General NPI Number Information
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NPI Number | 1508649419
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Entity Type | Organization
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Legal Business Name | LOGAN & ASSOCIATES COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 08/15/2023
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 10730 W 143RD ST STE 32
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City | ORLAND PARK
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State | IL
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Zip | 60462-1976
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Country | US
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Telephone | 312-502-0118
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Fax |
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Provider Business Mailing Address
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Address Line | 5844 ELAINE DR STE 103
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City | ROCKFORD
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State | IL
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Zip | 61108-2494
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Country | US
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Telephone | 312-502-0118
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LANA LOGAN
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Credential | LCPC, PHD
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Telephone | 312-502-0118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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