person
Ellen Waltman, LPC
Mental Health Counselor in Willimantic, Connecticut
NPI 1902357999

Ellen Waltman is a Mental Health Counselor based in Willimantic, CT and is specialized in Mental Health. Ellen Waltman practices in Willimantic, CT and has the professional credentials of LPC. The NPI Number for Ellen Waltman is 1902357999 and holds a License No. 002290 (Connecticut).

The current practice location address for Ellen Waltman is 132 Mansfield Ave, Willimantic, CT and can be reached out via phone at 860-456-2261 and via fax at 860-450-1357.

Location: 132 Mansfield Ave, Willimantic, CT, 06226-2027
person
Provider Profile Details
NPI Number
1902357999
Provider Name
Ellen Waltman
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
132 Mansfield Ave, Willimantic, CT, 06226-2027
Phone Number
860-456-2261
Fax Number
860-450-1357
Provider Enumeration Date
10/14/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004040564 05 CT
institution
Provider Business Practice Location Address Details
Address
132 Mansfield Ave
City
State
Zip
06226-2027
Phone Number
860-456-2261
Fax Number
860-450-1357
person
Provider Business Mailing Address Details
Address
132 Mansfield Ave
City
State
Zip
06226-2027
Phone Number
860-456-2261
Fax Number
860-450-1357
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
002290 (Connecticut)
Definition
Definition to come...
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