MACKENZIE ANNE LOGAN

ROCKFORD, IL
NPI1982430286
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor Professional
(Licence: IL  178.020561)
Enumeration Date2024-09-12
Last Update Date2024-10-01
Business Address
MRS. MACKENZIE ANNE LOGAN LPC
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107-6225
Phone number: 779-368-0060
Mailing Address
MRS. MACKENZIE ANNE LOGAN LPC
5076 HERMITAGE TRL
ROCKFORD, IL 61114-7088
Phone number: 815-861-3147