Individual provider · Type 1 NPI
Michael Shawn Ellis, LPC
Professional Counselor · New Haven, CT
NPI number
1386416352
Active
Practice location
45 Riverview Rd
New Haven, CT 06513-4637
Mailing address
1208 E Churchville Rd
Bel Air, MD 21014-3442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6868 (CT) |
Professional Counselor: Definition to come...
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About NPI 1386416352
Michael Shawn Ellis, LPC's National Provider Identifier is 1386416352, issued on Oct 24, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in New Haven, CT. The record was last updated on Oct 24, 2023.