Individual
AMEL LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
6120 BRANDON AVE STE 117, SPRINGFIELD, VA 22150-2504
(703) 887-9582
(703) 455-1502
Mailing address
PO BOX 1610, NEWINGTON, VA 22122-1610
(703) 887-9582
(703) 455-1502
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004104
VA
Other
Enumeration date
01/16/2007
Last updated
01/09/2015
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