Kristina Ellen's National Provider Identifier (NPI) Details
Kristina Ellen, LPCA
NPI: 1588906242
Enumeration Date: 2013-03-20
Last updated: 2013-03-20
Sole Proprietor: NO
Status: active
Postal Address: 712 VILLAGE RD SW, SUITE 106, SHALLOTTE, NC
Phone: 910-754-2273
Primary Practice Address: 712 VILLAGE RD SW, SUITE 106, SHALLOTTE, NC
Practice's phone: 910-754-2273