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NPI Code Detail

MEDICARE: EMILY ETTER LMHCA

MEDICARE:   EMILY  ETTER  LMHCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor88002431AIN

General Provider Information

NPI Number : 1881428316
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY ETTER LMHCA
Provider Business Mailing Address
First Line : 5802 WATERSTONE WAY
Second Line :
City : WHITESTOWN
State : IN
Zip : 46075-9003
Country : US
Telephone Number : 317-403-6776
Fax Number :
Provider Business Practice Location Address
First Line : 9650 COMMERCE DR STE 521
Second Line :
City : CARMEL
State : IN
Zip : 46032-7639
Country : US
Telephone Number : 317-210-5202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2024
Last Update Date : 08/28/2024

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Directions to “ EMILY ETTER LMHCA” Practice Location

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