Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 3818 | NC |
NPI | 1104868173 |
---|---|
Provider Name | Eric Matthew Christian |
First Address | Asheville, NC 28801-3272 |
Second Address | Asheville, NC 28801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
136F5 | BCBSNC GRP # 015HF (01) | NC |
6102167 | (05) | NC |