| NPI | 1750766275 |
|---|---|
| Doing Business As | LANA LOGAN, LCPC |
| Entity Type | Organization |
| Authorized Contact | LANA Y LOGAN Lcpc 708-514-9422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180007562) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-12-23 |