Provider Information for 1952067654
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CHRISTOPHER RYAN ELSWICK LPC
Sex: Male
NPI: 1952067654
Last Updated: 2021-11-17
Certification Date: 2021-11-17
Certification Date: 2021-11-17
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1952067654 | ||||||||
| Enumeration Date | 2021-11-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 770 W RIDGE RD WYTHEVILLE, VA 24382-1187 United States Phone: 276-223-3200 | Fax:276-223-0617 | ||||||||
| Primary Practice Address | 121 BROAD ST MARION, VA 24354-2725 United States Phone: 276-781-5900 | Fax: | ||||||||
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