LOGAN SCOTT NICKERSON

PEORIA, IL
NPI1427919869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-11-24
Last Update Date2025-11-24
Business Address
LOGAN SCOTT NICKERSON
7820 N UNIVERSITY ST
PEORIA, IL 61614-1220
Phone number: 309-202-2208
Mailing Address
LOGAN SCOTT NICKERSON
1717 W BRADLEY AVE
PEORIA, IL 61606-1055
Phone number:
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