JENNA KALEEN LOGAN ASW SUDCC NPI 1144597626

NPI Information

NPI: 1144597626
Provider Name: JENNA KALEEN LOGAN, ASW, SUDCC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1260 MORENA BLVD
STE. 100
SAN DIEGO, CA
ZIP 92110
Phone: (619) 398-0355
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Jenna Kaleen Logan, ASW, SUDCC is an addiction (substance use disorder) counselor in San Diego, CA. Jenna Kaleen Logan, ASW, SUDCC NPI is 1144597626. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1260 MORENA BLVD
STE. 100
SAN DIEGO, CA
ZIP 92110-889
Phone: (619) 398-0355

The enumeration date for this NPI number is 11/28/2011 and was last updated on 1/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	98936	CALIFORNIA	No
3	101YM0800X	Counselor	Mental Health			No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	6079	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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