MS. SAMONIA ETHERIDGE, LPC

Counselor - Professional

Active Individual
NPI: 1619014891

Practice Address

1414 CHERRY ST
Vicksburg, MS 39180

Phone: (601) 636-5703

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X Yes 1046 (MS)

Frequently Asked Questions

NPI 1619014891 is the National Provider Identifier for MS. SAMONIA ETHERIDGE, LPC, a Counselor - Professional provider located in Vicksburg, MS. This NPI was enumerated on January 30, 2007.
MS. SAMONIA ETHERIDGE, LPC practices at 1414 CHERRY ST, Vicksburg, MS 39180.

Quick Facts

NPI
1619014891
Type
Individual
Enumerated
Jan 30, 2007
Last Updated
Jul 8, 2007

Nearby Providers