person
Ms. Jenny Gaston, LPC
Professional Counselor in Philadelphia, Pennsylvania
NPI 1659523413

Jenny Gaston is a Professional Counselor based in Philadelphia, PA and is specialized in Professional. Jenny Gaston practices in Philadelphia, PA and has the professional credentials of LPC. The NPI Number for Jenny Gaston is 1659523413 and holds a License No. PC005719 (Pennsylvania).

The current practice location address for Jenny Gaston is 3905 Ford Rd, Philadelphia, PA and can be reached out via phone at 215-878-3400 and via fax at 215-878-2082.

Location: 3905 Ford Rd, Philadelphia, PA, 19143-1309
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Provider Profile Details
NPI Number
1659523413
Provider Name
Jenny Gaston
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
3905 Ford Rd, Philadelphia, PA, 19143-1309
Phone Number
215-878-3400
Fax Number
215-878-2082
Provider Enumeration Date
10/10/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
23-1728027 05 PA
institution
Provider Business Practice Location Address Details
Address
3905 Ford Rd
City
State
Zip
19131-2824
Phone Number
215-878-3400
Fax Number
215-878-2082
person
Provider Business Mailing Address Details
Address
3905 Ford Rd
City
State
Zip
19131-2824
Phone Number
215-878-3400
Fax Number
215-878-2082
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PC005719 (Pennsylvania)
Definition
Definition to come...
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