Individual
CHRISTINA NICOLE ELANDARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3226 COLLINSWORTH ST STE F, FORT WORTH, TX 76107-6528
(972) 467-2102
Mailing address
PO BOX 101511, FORT WORTH, TX 76185-1511
(972) 467-2102
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
84991
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
46419
TX
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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