Individual
MR. CHRISTOPHER BYOUS ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 LEONA AVE APT A, YERINGTON, NV 89447-2748
(775) 636-4793
Mailing address
303A LEONA AVE, YERINGTON, NV 89447
(775) 636-4793
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/19/2008
Last updated
06/21/2011
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