Individual
CHRISTINA ETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC, ICS
Contact information
Practice address
255 W BROADWAY, WAUKESHA, WI 53186-4832
(262) 420-9088
Mailing address
255 W BROADWAY, WAUKESHA, WI 53186-4832
(262) 420-9088
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10920
WI
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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