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Individual
KRISTA RENEE ETCHISON
Active
Individual
KRISTA RENEE ETCHISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCMHCS, NCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10790
NC
101YM0800X
Mental Health Counselor
PC005227
PA
101YM0800X
Mental Health Counselor
Primary
S10790
NC
101YP2500X
Professional Counselor
10790
NC
Other
Enumeration date
07/28/2009
Last updated
01/15/2026
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