Individual
TRAVIS LOGAN JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA, CADC
Contact information
Practice address
4040 MARKET ST, PHILADELPHIA, PA 19104-3003
(215) 662-8747
Mailing address
4040 MARKET ST, PHILADELPHIA, PA 19104-3003
(443) 889-0292
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
03/16/2026
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