Shannon Logan, LAC

NPI #1508424060 in Lyndhurst, New Jersey

Provider Information

NPI Number
1508424060
Entity Type
Individual
Name
Shannon Logan, LAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
LAC
Enumeration Date
May 30, 2019
Last Updated
May 30, 2019

Practice Location

Address
1050 WALL ST W STE 310
ZIP Code
07071-3615
Phone
(732) 982-2888

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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