Individual
AMY DAWN ETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
113 CHRISTIAN LN, SLIDELL, LA 70458-1377
(985) 781-7353
(985) 781-7354
Mailing address
113 CHRISTIAN LN, SLIDELL, LA 70458-1377
(985) 781-7353
(985) 781-7354
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6954
LA
101YP2500X
Professional Counselor
Primary
6954
LA
Other
Enumeration date
12/18/2017
Last updated
03/13/2019
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