person
Mrs. Kristina Nicole Ellen, LPCA
Mental Health Counselor in Shallotte, North Carolina
NPI 1588906242

Kristina Nicole Ellen is a Mental Health Counselor based in Shallotte, NC and is specialized in Mental Health. Kristina Nicole Ellen practices in Shallotte, NC and has the professional credentials of LPCA. The NPI Number for Kristina Nicole Ellen is 1588906242 and holds a License No. A10093 (North Carolina).

The current practice location address for Kristina Nicole Ellen is 712 Village Rd Sw, Shallotte, NC and can be reached out via phone at 910-754-2273 and via fax at 910-754-2254.

Location: 712 Village Rd Sw, Shallotte, NC, 28470-3448
person
Provider Profile Details
NPI Number
1588906242
Provider Name
Kristina Nicole Ellen
Credential
LPCA
Provider Entity Type
Individual
Gender
Female
Address
712 Village Rd Sw, Shallotte, NC, 28470-3448
Phone Number
910-754-2273
Fax Number
910-754-2254
Provider Enumeration Date
03/20/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
712 Village Rd Sw
City
State
Zip
28470-3448
Phone Number
910-754-2273
Fax Number
910-754-2254
person
Provider Business Mailing Address Details
Address
712 Village Rd Sw
City
State
Zip
28470-3448
Phone Number
910-754-2273
Fax Number
910-754-2254
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
A10093 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
A10093 (North Carolina)
Definition
Definition to come...
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