Opal R Ellison

NPI #1710794417 in Putnam, Connecticut

Provider Information

NPI Number: 1710794417
Entity Type: Individual
Name: Opal R Ellison
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Dec 16, 2024
Last Updated: Dec 16, 2024

Practice Location

Address: 391 POMFRET ST
City: Putnam
State: Connecticut
ZIP Code: 06260-1852
Phone: (860) 731-5522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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