Logan, Elisha

Logan, Elisha is an individual health care provider with primary practice located at 92 Turtle Bay Dr , Branford CT 06405-4980. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Logan, Elisha can be contacted via phone (760) 672-0361.

Contact Information

Primary practice address
92 Turtle Bay Dr Branford CT 06405-4980
Phone: (760) 672-0361
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6181 Connecticut
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDP00383 Rhode Island

Profile Details

NPI number 1366520637
LBN Legal business name Logan, Elisha
Credentials MA,LPC, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Jan 24th, 2024 - about 11 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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