Provider Demographics
NPI:1053787044
Name:ELSTON, CHRISTINE (BS)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:ELSTON
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:ELSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MHP, BS
Mailing Address - Street 1:402 2ND AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:IL
Mailing Address - Zip Code:61081-3699
Mailing Address - Country:US
Mailing Address - Phone:815-535-6041
Mailing Address - Fax:
Practice Address - Street 1:402 2ND AVE STE 1
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:IL
Practice Address - Zip Code:61081-3699
Practice Address - Country:US
Practice Address - Phone:815-535-6041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-13
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health