Kellas, Vanessa Elizabeth

Kellas, Vanessa Elizabeth is an individual health care provider with primary practice located at 949 Bridgport Ave , Milford CT 06460. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kellas, Vanessa Elizabeth can be contacted via phone (203) 878-6365.

Contact Information

Primary practice address
949 Bridgport Ave Milford CT 06460
Phone: (203) 878-6365
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Connecticut

Profile Details

NPI number 1912437609
LBN Legal business name Kellas, Vanessa Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2017
Last updated Jun 14th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912437609 NPPES
Connecticut MEDICAID 101YM0800X

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