MS. JACQUELINE LOGAN LPC
NPI 1710257548
Counselor - Professional in Decatur, GA

Q: What is Jacqueline Logan's NPI number?

The NPI number for Jacqueline Logan is 1710257548. It was assigned to this individual provider in the NPPES registry on January 10, 2012.

Q: What is Jacqueline Logan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Logan was last updated on March 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 10, 2012

108 E PONCE DE LEON AVE STE 204, DECATUR, GA 30030(404) 382-8788 Get Directions Write a Review

NPPES record last updated: March 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Jacqueline Logan Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JACQUELINE LOGAN LPC (NPI 1710257548) is an individual professional provider in Decatur, Georgia, licensed in Georgia (LPC006564) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1710257548

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. JACQUELINE LOGANCredential: LPC

Location Address108 E PONCE DE LEON AVE STE 204Decatur, GA 30030-2512

Mailing AddressPo Box 373119Decatur, GA 30037-3119

Phone(404) 382-8788

Sole ProprietorYes

Enumeration DateJanuary 10, 2012

Last NPPES UpdateMarch 30, 2018

✔ NPI 1710257548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in GA · LPC006564

108 E PONCE DE LEON AVE STE 204, Decatur, GA 30030

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVAN MILLER THOMAS PSY.D.

Psychologist

108 E PONCE DE LEON AVE STE 204
DECATUR, GA 30030

Dekalb County (510) 566-2367

ROSEWOOD PSYCHOTHERAPY AND WELLNESS, LLC

Counselor (Professional)

108 E PONCE DE LEON AVE STE 204
DECATUR, GA 30030

Dekalb County (404) 382-8788

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Logan's NPI number?

The NPI number for Jacqueline Logan is 1710257548. It was assigned to this individual provider in the NPPES registry on January 10, 2012.

Where is Jacqueline Logan located?

Jacqueline Logan practices at 108 E Ponce De Leon Ave Ste 204, Decatur, GA 30030. The listed phone number is (404) 382-8788.

What is Jacqueline Logan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jacqueline Logan was last updated on March 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.