Landrie H. Ethredge, M.A.
Counselor, Mental Health in Charleston, SC. Individual provider (NPI-1).
NPI number1437709136
StatusActive
Last updated in NPPESSep 13, 2019
Details
- NPI
- 1437709136
- Entity type
- Individual (NPI-1)
- Name
- Landrie H. Ethredge
- Credential
- M.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2019
- Last updated
- Sep 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1 Carriage LaneBuilding B, Suite 102
Charleston, SC 29407
Phone 843-410-9046
Mailing address
1 Carriage LaneBuilding B, Suite 102
Charleston, SC 29407
Phone 843-410-9046
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