Individual provider · Type 1 NPI
Gayle Vence Logan, MA, LMSW, LPC
Professional Counselor · Philadelphia, PA
NPI number
1821377854
Active
Practice location
2449 Golf Rd Ste 14
Philadelphia, PA 19131-1475
Fax (215) 477-3104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PC005429 (PA) |
Professional Counselor: Definition to come...
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About NPI 1821377854
Gayle Vence Logan, MA, LMSW, LPC's National Provider Identifier is 1821377854, issued on Aug 9, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 9, 2011.