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Individual

LOGAN GILLEN LOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LMFT, PHD

Contact information

Practice address
109 MEADOW VIEW RD, BRISTOL, TN 37620-1661
(423) 797-4555
Mailing address
2050 LEE HWY, BRISTOL, VA 24201-1626

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor
1116
TN

Other

Enumeration date
10/15/2012
Last updated
01/29/2025
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