Individual
MISS CARRIE ELKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RI-E1011051352
Contact information
Practice address
1601 E 10TH ST, LONG BEACH, CA 90813-5035
(562) 218-3639
Mailing address
1601 E 10TH ST, LONG BEACH, CA 90813-5035
(562) 218-3639
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RI-E1011051352
CA
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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