JEANNIE M LOGAN

WICHITA, KS
NPI1386384261
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-03-30
Last Update Date2022-03-30
Business Address
JEANNIE M LOGAN LAC
939 N MAIN ST
WICHITA, KS 67203-3608
Phone number: 316-263-8807
Mailing Address
JEANNIE M LOGAN LAC
939 N MAIN ST
WICHITA, KS 67203-3608
Phone number: