Individual
CRYSTAL A ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
249 TRUMBULL AVE, BRIDGEPORT, CT 06606-1535
(203) 455-6220
Mailing address
249 TRUMBULL AVE, BRIDGEPORT, CT 06606-1535
(203) 455-6220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7603
CT
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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