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Chrystal L Shoup
Professional Counselor in Hamden, Connecticut
NPI 1184010357

Chrystal L Shoup is a Professional Counselor based in Waterbury, CT and is specialized in Professional. Chrystal L Shoup practices in Hamden, CT. The NPI Number for Chrystal L Shoup is 1184010357 and holds a License No. (Connecticut).

The current practice location address for Chrystal L Shoup is 2911 Dixwell Ave Ste 5, Hamden, CT and can be reached out via phone at 860-987-9704.

Location: 2911 Dixwell Ave Ste 5, Hamden, CT, 06708-1402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184010357
Provider Name
Chrystal L Shoup
Credential
Provider Entity Type
Individual
Gender
Female
Address
2911 Dixwell Ave Ste 5, Hamden, CT, 06708-1402
Phone Number
860-987-9704
Fax Number
Provider Enumeration Date
04/14/2015
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
2911 Dixwell Ave Ste 5
City
Hamden
State
Connecticut
Zip
06518-3195
Phone Number
860-987-9704
Fax Number
person
Provider Business Mailing Address Details
Address
2911 Dixwell Ave Ste 5
City
Hamden
State
Connecticut
Zip
06518-3195
Phone Number
860-987-9704
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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