Chrystal L Shoup
Chrystal L Shoup is a Mental Health Counselor in Hamden, Connecticut. Qualified in 2015, 11 years ago. Accepts Medicare assignment.
- Years since qualifying
- 11
- In the registry since
- 2015
- Specialties on file
- 3
Practice location Address checks out
2911 Dixwell Ave Ste 5Hamden, CT 06518-3195
Phone: (860) 987-9704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1184010357 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 14, 2015 |
| Last updated in NPPES | August 9, 2024 |
| Certification date | August 9, 2024 |
| Mailing address | 50 Brookside Rd, Waterbury, CT 06708-1402 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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Vesilenur Yildiz
2911 Dixwell Ave Ste 301, Hamden, CT 06518-3130 · (203) 281-0300