person
Marisa E Etting, MA
Mental Health Counselor in Providence, Rhode Island
NPI 1598720187

Marisa E Etting is a Mental Health Counselor based in Providence, RI and is specialized in Mental Health. Marisa E Etting practices in Providence, RI and has the professional credentials of MA. The NPI Number for Marisa E Etting is 1598720187 and holds a License No. (Rhode Island).

The current practice location address for Marisa E Etting is 194 Waterman St, Providence, RI and can be reached out via phone at 401-633-2929 and via fax at 888-602-6957. You can also correspond with Marisa E Etting through the mailing address at 194 WATERMAN ST, PROVIDENCE, RI - 02906-4015 (mailing address contact number: 401-633-2929).

Location: 194 Waterman St, Providence, RI, 02906-4015
person
Provider Profile Details
NPI Number
1598720187
Provider Name
Marisa E Etting
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
194 Waterman St, Providence, RI, 02906-4015
Phone Number
401-633-2929
Fax Number
888-602-6957
Provider Enumeration Date
04/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MHC00342 01 RI LCMHC
9011388 01 RI AETNA
33058-3 01 RI BLUE CROSS BLUE SHIELD
MS57711 05 RI
1094200 01 RI NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND
institution
Provider Business Practice Location Address Details
Address
194 Waterman St
City
State
Zip
02906-4015
Phone Number
401-633-2929
Fax Number
888-602-6957
person
Provider Business Mailing Address Details
Address
194 Waterman St
City
State
Zip
02906-4015
Phone Number
401-633-2929
Fax Number
888-602-6957
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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