Etting, Marisa E

Etting, Marisa E is an individual health care provider with primary practice located at 194 Waterman St , Providence RI 02906-4015. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Etting, Marisa E can be contacted via phone (401) 633-2929.

Contact Information

Primary practice address
194 Waterman St Providence RI 02906-4015
Phone: (401) 633-2929
Fax: (888) 602-6957
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1598720187
LBN Legal business name Etting, Marisa E
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598720187 NPPES
Rhode Island Other MHC00342 LCMHC
Rhode Island Other 9011388 LCMHC
Rhode Island Other 33058-3 LCMHC
Rhode Island MEDICAID MS57711 LCMHC
Rhode Island Other 1094200 LCMHC

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