Individual provider · Type 1 NPI
Annette Logan, AT
Addiction (Substance Use Disorder) Counselor · West Haven, CT
NPI number
1912134297
Active
Practice location
950 Campbell Ave
West Haven, CT 06516-2770
Mailing address
25 Lawncrest Rd
New Haven, CT 06515-1512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1912134297
Annette Logan, AT's National Provider Identifier is 1912134297, issued on Jun 15, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in West Haven, CT. The record was last updated on Jun 15, 2009.