person
Krista Renee Etchison, MA,LCMHCS,NCC
Mental Health Counselor in Wake Forest, North Carolina
NPI 1093946857

Krista Renee Etchison is a Mental Health Counselor based in Wake Forest, NC and is specialized in Mental Health. Krista Renee Etchison practices in Wake Forest, NC and has the professional credentials of MA,LCMHCS,NCC. The NPI Number for Krista Renee Etchison is 1093946857 and holds a License No. PC005227 (North Carolina).

The current practice location address for Krista Renee Etchison is 1764 Heritage Center Dr Ste 202, Wake Forest, NC and can be reached out via phone at 984-235-7596 and via fax at 984-235-7054.

Location: 1764 Heritage Center Dr Ste 202, Wake Forest, NC, 27587-4092
person
Provider Profile Details
NPI Number
1093946857
Provider Name
Krista Renee Etchison
Credential
MA,LCMHCS,NCC
Provider Entity Type
Individual
Gender
Female
Address
1764 Heritage Center Dr Ste 202, Wake Forest, NC, 27587-4092
Phone Number
984-235-7596
Fax Number
984-235-7054
Provider Enumeration Date
07/28/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1764 Heritage Center Dr Ste 202
City
State
Zip
27587-4092
Phone Number
984-235-7596
Fax Number
984-235-7054
person
Provider Business Mailing Address Details
Address
1764 Heritage Center Dr Ste 202
City
State
Zip
27587-4092
Phone Number
984-235-7596
Fax Number
984-235-7054
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
10790 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PC005227 (Pennsylvania)
Definition
Definition to come...
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