Individual provider · Type 1 NPI
Jatarra Ellis, LPC-A
Mental Health Counselor · Waterbury, CT
NPI number
1336909035
Active
Practice location
255 Bank St Fl 4
Waterbury, CT 06702-2219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 6792 (CT) |
Mental Health Counselor: Definition to come...
4 other providers at this address
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About NPI 1336909035
Jatarra Ellis, LPC-A's National Provider Identifier is 1336909035, issued on Mar 20, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waterbury, CT. The record was last updated on Aug 12, 2024.