Doctor Name: | MS. JENNIFER LYNNE LOGANBILL |
NPI Number: | 1023446275 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 60343229 |
Business Practice Address: | 1601 R Ave Anacortes, WA - 982212276 |
Business Phone Number: | 3607707325 |
Business Fax Number: | 3602994070 |
Mailing Address: | 1601 R Ave, ANACORTES |
State: | WA |
Postal Code: | 982212276 |
Phone Number: | 3607707325 |
Fax Number: | 3602994070 |
NPI Enumeration Date: | 10/25/2013 |
NPI Last Update Date: | 10/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 60343229 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |