Individual
MRS. CHRISTINE L. ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
132 W ELWOOD AVE, RAEFORD, NC 28376-2802
(910) 875-0070
Mailing address
9530 MOUNTAIN HOME DR, FAYETTEVILLE, NC 28314-5761
(910) 826-6795
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1053
NC
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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