Individual
DR. MICHAEL SHAWN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
45 RIVERVIEW RD, NEW HAVEN, CT 06513-4637
(203) 915-9540
Mailing address
1208 E CHURCHVILLE RD, BEL AIR, MD 21014-3442
(410) 839-4600
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6868
CT
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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