Individual
VANESSA ELIZABETH KELLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
949 BRIDGPORT AVE, MILFORD, CT 06460
(203) 878-6365
Mailing address
949 BRIDGEPORT AVE, MILFORD, CT 06460-3142
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
CT
Enumeration date
06/14/2017
Last updated
06/14/2017
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