Etchison, Krista Renee

Etchison, Krista Renee is an sole proprietor health care provider with primary practice located at 1764 Heritage Center Dr Ste 202 , Wake Forest NC 27587-4092. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Etchison, Krista Renee can be contacted via phone (984) 235-7596.

Contact Information

Primary practice address
1764 Heritage Center Dr Ste 202 Wake Forest NC 27587-4092
Phone: (984) 235-7596
Fax: (984) 235-7054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PC005227 Pennsylvania
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 10790 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 10790 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X S10790 North Carolina

Profile Details

NPI number 1093946857
LBN Legal business name Etchison, Krista Renee
Credentials MA, LCMHCS, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2009
Last updated May 22nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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