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

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPC005719 (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.