Individual
CHRISTINA ELIASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 S MONROE AVE, 201, GREEN BAY, WI 54301-4054
(920) 445-0170
(920) 445-0174
Mailing address
424 S MONROE AVE, 201, GREEN BAY, WI 54301-4054
(920) 445-0170
(920) 445-0174
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16369-131
WI
101YM0800X
Mental Health Counselor
Primary
2648-226
WI
Other
Enumeration date
08/19/2015
Last updated
02/11/2020
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