Individual
STEPHANIE JUANITA ELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
200 NORTHVIEW PLZ, NORTH WILKESBORO, NC 28659-3173
(336) 818-0607
(336) 838-0156
Mailing address
200 NORTHVIEW PLZ, NORTH WILKESBORO, NC 28659-3173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSAC20682
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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