Organization
DEPARTMENT OF VETERAN AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNETTE LOGAN MSW (ADDICTION THERAPIST)
(203) 479-8066
Entity
Organization
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 479-8066
(203) 479-8061
Mailing address
25 LAWNCREST RD, NEW HAVEN, CT 06515-1512
(203) 389-0292
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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