Amel Logan, LPC | |
6120 Brandon Ave Ste 117, Springfield, VA 22150-2504 | |
(703) 887-9582 | |
(703) 455-1502 |
Full Name | Amel Logan |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 6120 Brandon Ave Ste 117, Springfield, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1841341682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0701004104 (Virginia) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
Mailing Address | Practice Location Address |
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Amel Logan, LPC Po Box 1610, Newington, VA 22122-1610 Ph: (703) 887-9582 | Amel Logan, LPC 6120 Brandon Ave Ste 117, Springfield, VA 22150-2504 Ph: (703) 887-9582 |
Lauren Mullinax, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8328 Traford Ln Ste C, Springfield, VA 22152 Phone: 571-414-9645 | |
Ms. Karen J Berube, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 8001 Forbes Place, Springfield, VA 22151 Phone: 703-321-2600 Fax: 703-321-2603 | |
Apryl Elizabeth Sydnor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8519 Tuttle Rd, Springfield, VA 22152 Phone: 703-451-8041 | |
Dr. Karen Makar Jeannette, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8508 Westover Ct, Springfield, VA 22152 Phone: 571-205-8880 | |
Rosalind G Rogers, PHD, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7312 Eggar Woods Ln, Springfield, VA 22153 Phone: 954-882-5392 | |
Mrs. Kaitlyn Zito, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6106 Roxbury Ave, Springfield, VA 22152 Phone: 202-604-3450 | |
Ms. Lauren Trecosta, LPC Counselor Medicare: Medicare Enrolled Practice Location: 5417-c Backlick Road, Springfield, VA 22151 Phone: 571-275-1423 |