| Doctor Name: | MS. CAROLE S. LOGALBO |
| NPI Number: | 1053527242 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | |
| Business Practice Address: | 493 Forest Ave Glen Ellyn, IL - 601374104 |
| Business Phone Number: | 6304691555 |
| Business Fax Number: | |
| Mailing Address: | 0n706 Concord Ln, WINFIELD |
| State: | IL |
| Postal Code: | 601901085 |
| Phone Number: | 6306684594 |
| Fax Number: | 6306684566 |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |