Logan, Kim Janisse

Logan, Kim Janisse is an individual health care provider with primary practice located at 3011 W. Grand Blvd. Suite 423, Detroit MI 48202-3011. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Logan, Kim Janisse can be contacted via phone (313) 664-4900.

Contact Information

Primary practice address
3011 W. Grand Blvd. Suite 423 Detroit MI 48202-3011
Phone: (313) 664-4900
Fax: (313) 664-4901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X L2437318 Michigan
Behavioral Health & Social Service Providers / Professional 101YP2500X L2437318 Michigan

Profile Details

NPI number 1841470556
LBN Legal business name Logan, Kim Janisse
Credentials PH.D.,LPC,BCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2007
Last updated Apr 14th, 2015 - about 9 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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