Individual
KRYSTAL ELLERBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579-7335
(800) 805-6989
Mailing address
3831 PARK POINTE AVE, LITTLE RIVER, SC 29566-6795
(908) 674-1401
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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