Logan, Jalinia

Logan, Jalinia is an sole proprietor health care provider with primary practice located at 9435 Bormet Dr , Mokena IL 60448-8363. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Nursing Service Providers / Licensed Practical Nurse, Other Service Providers / Health Educator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Logan, Jalinia can be contacted via phone (708) 995-7226.

Contact Information

Primary practice address
9435 Bormet Dr Mokena IL 60448-8363
Phone: (708) 995-7226
Fax: (708) 995-7227
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Nursing Service Providers / Licensed Practical Nurse 164W00000X 043105752 Illinois
Other Service Providers / Health Educator 174H00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149021972 Illinois

Profile Details

NPI number 1316587520
LBN Legal business name Logan, Jalinia
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2020
Last updated Mar 16th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316587520 NPPES
Illinois Other 27-4113346 GREAT CHANGES COUNSELING SERVICES

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