Individual provider · Type 1 NPI

Elisha Logan, MA, LPC, LADC

Professional Counselor · Branford, CT

NPI number 1366520637 Active

Practice location

92 Turtle Bay Dr
Branford, CT 06405-4980

Call (760) 672-0361 Map

Mailing address

655 Park Ave
Bridgeport, CT 06604-4611

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XLPC.0013276 (CO)
Professional Counselor Primary 101YP2500X6181 (CT)

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About NPI 1366520637

Elisha Logan, MA, LPC, LADC's National Provider Identifier is 1366520637, issued on Nov 2, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Branford, CT. The record was last updated on Apr 6, 2026.