Individual
ANGELA ETCHISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
13024 STACY LN, LITTLE ROCK, AR 72211-3239
(501) 868-4900
(501) 868-4901
Mailing address
13024 STACY LN, LITTLE ROCK, AR 72211-3239
(501) 868-4900
(501) 868-4901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
05-06EI
AR
Other
Enumeration date
10/21/2008
Last updated
08/26/2020
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