person
Ms. Gayle Vence Logan, MA,LMSW,LPC
Professional Counselor in Philadelphia, Pennsylvania
NPI 1821377854

Gayle Vence Logan is a Professional Counselor based in Philadelphia, PA and is specialized in Professional. Gayle Vence Logan practices in Philadelphia, PA and has the professional credentials of MA,LMSW,LPC. The NPI Number for Gayle Vence Logan is 1821377854 and holds a License No. PC005429 (Pennsylvania).

The current practice location address for Gayle Vence Logan is 2449 Golf Rd Ste 14, Philadelphia, PA and can be reached out via phone at 215-477-3103 and via fax at 215-477-3104.

Location: 2449 Golf Rd Ste 14, Philadelphia, PA, 19131-1475
person
Provider Profile Details
NPI Number
1821377854
Provider Name
Gayle Vence Logan
Credential
MA,LMSW,LPC
Provider Entity Type
Individual
Gender
Female
Address
2449 Golf Rd Ste 14, Philadelphia, PA, 19131-1475
Phone Number
215-477-3103
Fax Number
215-477-3104
Provider Enumeration Date
08/09/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2449 Golf Rd Ste 14
City
State
Zip
19131-1475
Phone Number
215-477-3103
Fax Number
215-477-3104
person
Provider Business Mailing Address Details
Address
2449 Golf Rd Ste 14
City
State
Zip
19131-1475
Phone Number
215-477-3103
Fax Number
215-477-3104
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PC005429 (Pennsylvania)
Definition
Definition to come...
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