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Mr. Logan C Taylor
Mental Health Counselor in Woodbridge, Virginia
NPI 1750161204

Logan C Taylor is a Mental Health Counselor based in Woodbridge, VA and is specialized in Mental Health. Logan C Taylor practices in Woodbridge, VA. The NPI Number for Logan C Taylor is 1750161204 and holds a License No. 0701012898 (Virginia).

The current practice location address for Logan C Taylor is 13000 Harbor Center Dr Ste 302, Woodbridge, VA and can be reached out via phone at 703-492-2994.

Location: 13000 Harbor Center Dr Ste 302, Woodbridge, VA, 22192-2847
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750161204
Provider Name
Logan C Taylor
Credential
Provider Entity Type
Individual
Gender
Male
Address
13000 Harbor Center Dr Ste 302, Woodbridge, VA, 22192-2847
Phone Number
703-492-2994
Fax Number
Provider Enumeration Date
10/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13000 Harbor Center Dr Ste 302
City
Woodbridge
State
Virginia
Zip
22192-2847
Phone Number
703-492-2994
Fax Number
person
Provider Business Mailing Address Details
Address
13000 Harbor Center Dr Ste 302
City
Woodbridge
State
Virginia
Zip
22192-2847
Phone Number
703-492-2994
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
0701012898 (Virginia)
Definition
Definition to come...
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