person
Shannon Logan, LAC
Mental Health Counselor in Lyndhurst, New Jersey
NPI 1508424060

Shannon Logan is a Mental Health Counselor based in Vernon Hills, NJ and is specialized in Mental Health. Shannon Logan practices in Lyndhurst, NJ and has the professional credentials of LAC. The NPI Number for Shannon Logan is 1508424060 and holds a License No. 37AC00293400 (New Jersey).

The current practice location address for Shannon Logan is 1050 Wall St W Ste 310, Lyndhurst, NJ and can be reached out via phone at 732-982-2888 and via fax at 847-859-5885.

Location: 1050 Wall St W Ste 310, Lyndhurst, NJ, 60061-1454
person
Provider Profile Details
NPI Number
1508424060
Provider Name
Shannon Logan
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
1050 Wall St W Ste 310, Lyndhurst, NJ, 60061-1454
Phone Number
732-982-2888
Fax Number
847-859-5885
Provider Enumeration Date
05/30/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1050 Wall St W Ste 310
City
State
Zip
07071-3615
Phone Number
732-982-2888
Fax Number
847-859-5885
person
Provider Business Mailing Address Details
Address
1050 Wall St W Ste 310
City
State
Zip
07071-3615
Phone Number
732-982-2888
Fax Number
847-859-5885
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
37AC00293400 (New Jersey)
Definition
Definition to come...
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