Crystal A Ellis Valid NPI
Individual provider · Mental Health Counselor · Bridgeport, CT
- NPI
- 1265379887
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- 7603 (CT)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2026-05-01
- Last updated
- 2026-05-01
Practice location
249 Trumbull Ave
Bridgeport, CT 06606-1535
(203) 455-6220