Jennifer Logan's National Provider Identifier (NPI) Details
Jennifer Logan, LPC
NPI: 1700560406
Enumeration Date: 2023-06-13
Last updated: 2023-06-13
Sole Proprietor: NO
Status: active
Postal Address: PO BOX 670121, MARIETTA, GA
Phone: 770-851-8043
Primary Practice Address: 6133 LOVE ST, AUSTELL, GA
Practice's phone: 678-718-5618