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MR. LOGAN DEANE HAEFNER MA
NPI 1770258139
Counselor - Mental Health in Cullom, IL

Active since August 09, 2021
308 W CLEVELAND ST, CULLOM, IL 60929(615) 521-1202 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Logan Deane Haefner Ma NPPES

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

MR. LOGAN DEANE HAEFNER MA (NPI 1770258139) is an individual mental health provider in Cullom, Illinois and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1770258139
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. LOGAN DEANE HAEFNERCredential: MA
Location Address308 W CLEVELAND STCullom, IL 60929-7184
Mailing Address308 W Cleveland StCullom, IL 60929-7184
Phone(615) 521-1202
Sole ProprietorNo
Enumeration DateAugust 9, 2021
Last NPPES UpdateApril 26, 2023
NPPES CertifiedApril 26, 2023
✔ NPI 1770258139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
308 W CLEVELAND ST, Cullom, IL 60929
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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 Logan Haefner's NPI number?

The NPI number for Logan Haefner is 1770258139. It was assigned to this individual provider in the NPPES registry on August 9, 2021.

Where is Logan Haefner located?

Logan Haefner practices at 308 W Cleveland St, Cullom, IL 60929. The listed phone number is (615) 521-1202.

What is Logan Haefner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Logan Haefner was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.