Individual provider · Type 1 NPI
Jenny Gaston, LPC
Professional Counselor · Philadelphia, PA
NPI number
1659523413
Active
Practice location
3905 Ford Rd
Philadelphia, PA 19131-2824
Fax (215) 878-2082
Mailing address
5523 Delancey St
Philadelphia, PA 19143-1309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PC005719 (PA) |
Professional Counselor: Definition to come...
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About NPI 1659523413
Jenny Gaston, LPC's National Provider Identifier is 1659523413, issued on Oct 10, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 21, 2023.