NPI 1356628689

Jessica Logan, LCSW

Practitioner Clinical Social Worker Waianae, HI

Practice location

Address: 89-195 Farrington Hwy, Waianae, HI 96792-4102
Phone: (808) 696-7657
Mailing address: 1019a 8th Ave, Honolulu, HI 96816-2490

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 3903 (HI)

Other Social Worker providers in Hawaii →

Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 1950 (HI)

Registry record

NPI: 1356628689
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Nov 2011
Record last updated: 28 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.