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Samantha Ellis
Counselor in Manchester, Connecticut
NPI 1861861429

Samantha Ellis is a Counselor based in Windsor, CT. Samantha Ellis practices in Manchester, CT. The NPI Number for Samantha Ellis is 1861861429 and holds a License No. (Connecticut).

The current practice location address for Samantha Ellis is 487 Center St, Manchester, CT and can be reached out via phone at 860-432-8775 and via fax at 860-432-8581.

Location: 487 Center St, Manchester, CT, 06095-1722
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861861429
Provider Name
Samantha Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
487 Center St, Manchester, CT, 06095-1722
Phone Number
860-432-8775
Fax Number
860-432-8581
Provider Enumeration Date
09/24/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
487 Center St
City
Manchester
State
Connecticut
Zip
06040-3982
Phone Number
860-432-8775
Fax Number
860-432-8581
person
Provider Business Mailing Address Details
Address
487 Center St
City
Manchester
State
Connecticut
Zip
06040-3982
Phone Number
860-432-8775
Fax Number
860-432-8581
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.
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