KRISTA RENEE ETCHISON MA LCMHCS NCC NPI 1093946857

NPI Information

NPI: 1093946857
Provider Name: KRISTA RENEE ETCHISON, MA, LCMHCS, NCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1764 HERITAGE CENTER DR STE 202
WAKE FOREST, NC
ZIP 27587
Phone: (984) 235-7596
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Krista Renee Etchison, MA, LCMHCS, NCC is a mental health counselor in Wake Forest, NC. Krista Renee Etchison, MA, LCMHCS, NCC NPI is 1093946857. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1764 HERITAGE CENTER DR STE 202
WAKE FOREST, NC
ZIP 27587-092
Phone: (984) 235-7596
Fax: (984) 235-7054

The enumeration date for this NPI number is 7/28/2009 and was last updated on 5/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	PC005227	PENNSYLVANIA	No
2	101YM0800X	Counselor	Mental Health	10790	NORTH CAROLINA	No
3	101YP2500X	Counselor	Professional	10790	NORTH CAROLINA	No
4	101YM0800X	Counselor	Mental Health	S10790	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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