Individual provider · Type 1 NPI
Chrystal L. Shoup
Professional Counselor · Hamden, CT
NPI number
1184010357
Active
Practice location
2911 Dixwell Ave Ste 5
Hamden, CT 06518-3195
Mailing address
50 Brookside Rd
Waterbury, CT 06708-1402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1184010357
Chrystal L. Shoup's National Provider Identifier is 1184010357, issued on Apr 14, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hamden, CT. The record was last updated on Aug 9, 2024.