Individual provider · Type 1 NPI

Ellise Vasquez, BS

Counselor · Waterbury, CT

NPI number 1154737328 Active

Practice location

141 E Main St, 3rd Floor Home Based Services
Waterbury, CT 06702-2310

Call (203) 575-0466 Map

Fax (203) 206-7937

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1154737328

Ellise Vasquez, BS's National Provider Identifier is 1154737328, issued on Jul 8, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Waterbury, CT. The record was last updated on Jul 8, 2014.