National Provider Identifier
Jaclyn Loga, BA, CASAC
Jaclyn Loga, BA, CASAC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Cheektowaga, NY and a listed phone number of (716) 895-7167.
Profile Overview
- NPI
- 1215146964
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- May 21, 2007
- Last Updated
- July 08, 2007
Practice Location
- 1526 Walden Ave
- Cheektowaga, NY 14225-4965
Phone: (716) 895-7167
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1215146964
- Entity Type
- Individual
- Last Name
- Loga
- First Name
- Jaclyn
- Credential
- BA, CASAC
- Mailing Street Address
- 1526 Walden Ave
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-4965
- Mailing Country
- US
- Mailing Phone
- (716) 895-7167
- Mailing Fax
- (716) 332-4488
- Practice Street Address
- 1526 Walden Ave
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-4965
- Practice Country
- US
- Practice Phone
- (716) 895-7167
- Practice Fax
- (716) 332-4488
- Enumeration Date
- May 21, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)