Provider Demographics
NPI:1427887041
Name:ETTER, MONICA LYNN (LPC)
Entity type:Individual
Prefix:MS
First Name:MONICA
Middle Name:LYNN
Last Name:ETTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 MESQUITE RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-5107
Mailing Address - Country:US
Mailing Address - Phone:806-438-0241
Mailing Address - Fax:
Practice Address - Street 1:5524 BEE CAVES RD STE E2
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5249
Practice Address - Country:US
Practice Address - Phone:806-438-0241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82566101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional