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Individual

MS. TANYA LOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LGPC

Contact information

Practice address
1330 7TH ST NW APT 314, WASHINGTON, DC 20001-3528
(202) 270-2776
Mailing address
2307 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5813
(202) 678-1780

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGP7511
MD
101YP2500X
Professional Counselor
Primary
PRC15001
DC

Other

Enumeration date
11/27/2017
Last updated
11/27/2017
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