Individual
CHRISTINA ANN ETTESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
7825 BALLANTYNE COMMONS PKWY, STE 110, CHARLOTTE, NC 28277-3174
(704) 446-0391
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4329
NC
101YP2500X
Professional Counselor
4329
NC
Other
Enumeration date
09/22/2006
Last updated
12/28/2023
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