KHRISTIAN ELLISON

SPARTANBURG, SC
NPI1134507031
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SC  101YAO400X)
Additional Taxonomies104100000X Social Worker
(Licence: SC  10789)
Enumeration Date2015-05-12
Last Update Date2015-05-12
Business Address
-- KHRISTIAN ELLISON
187 W BROAD ST
SPARTANBURG, SC 29306-3234
Phone number: 864-582-7588
Mailing Address
-- KHRISTIAN ELLISON
187 W BROAD ST
SPARTANBURG, SC 29306-3234
Phone number: