MRS. Kristina Nicole Ellen, LPCA
NPI #1588906242 in Shallotte, North Carolina
Provider Information
- NPI Number
- 1588906242
- Entity Type
- Individual
- Name
- MRS. Kristina Nicole Ellen, LPCA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPCA
- Enumeration Date
- Mar 20, 2013
- Last Updated
- Mar 20, 2013
Practice Location
- Address
- 712 VILLAGE RD SW
- Address 2
- SUITE 106
- City
- Shallotte
- State
- North Carolina
- ZIP Code
- 28470-3448
- Phone
- (910) 754-2273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
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