Individual
MS. ANNETTE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 479-8066
Mailing address
25 LAWNCREST RD, NEW HAVEN, CT 06515-1512
(203) 479-8066
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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