Basic Information
| Provider Information | |||||||||
| NPI: | 1104868173 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHRISTIAN | ||||||||
| FirstName: | ERIC | ||||||||
| MiddleName: | MATTHEW | ||||||||
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| Credential: | LPC, NCC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 53 S FRENCH BROAD AVE | ||||||||
| Address2: | 3RD FLOOR | ||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288013272 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8282253100 | ||||||||
| FaxNumber: | 8282253604 | ||||||||
| Practice Location | |||||||||
| Address1: | 53 SOUTH FRENCH BROAD AVENUE | ||||||||
| Address2: | 3RD FLOOR | ||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8282253100 | ||||||||
| FaxNumber: | 8282253604 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/12/2006 | ||||||||
| LastUpdateDate: | 07/09/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YS0200X | 3818 | NC | Y | Behavioral Health & Social Service Providers | Counselor | School |
ID Information
| ID | Type | State | Issuer | Description | 136F5 | 01 | NC | BCBSNC GRP # 015HF | OTHER | 6102167 | 05 | NC | MEDICAID |