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Ms. Mary Callaway Logan, LPC,MDIV,FELLOW
Pastoral Counselor in Atlanta, Georgia
NPI 1245440254

Mary Callaway Logan is a Pastoral Counselor based in Atlanta, GA and is specialized in Pastoral. Mary Callaway Logan practices in Atlanta, GA and has the professional credentials of LPC,MDIV,FELLOW. The NPI Number for Mary Callaway Logan is 1245440254 and holds a License No. 000758 (Georgia).

The current practice location address for Mary Callaway Logan is 1200 Ponce De Leon Ave Ne, Atlanta, GA and can be reached out via phone at 404-931-6395.

Location: 1200 Ponce De Leon Ave Ne, Atlanta, GA, 30306-4602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245440254
Provider Name
Mary Callaway Logan
Credential
LPC,MDIV,FELLOW
Provider Entity Type
Individual
Gender
Female
Address
1200 Ponce De Leon Ave Ne, Atlanta, GA, 30306-4602
Phone Number
404-931-6395
Fax Number
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000758 01 GA LICENSED PROFESSIONAL COU
institution
Provider Business Practice Location Address Details
Address
1200 Ponce De Leon Ave Ne
City
Atlanta
State
Georgia
Zip
30306-4602
Phone Number
404-931-6395
Fax Number
person
Provider Business Mailing Address Details
Address
1200 Ponce De Leon Ave Ne
City
Atlanta
State
Georgia
Zip
30306-4602
Phone Number
404-931-6395
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
101YP1600X
License No.
000758 (Georgia)
Definition
Definition to come...
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