Individual
RACHEL JEAN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
784 FARMINGTON AVE, WEST HARTFORD, CT 06119-1619
(860) 523-4450
Mailing address
135 LAMPLIGHTER DR, MANCHESTER, CT 06040-6941
(860) 916-0921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9939
CT
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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