Most Relevant Information
Provider Data
| NPI Number: | 1003441007 |
| Provider Name: | CHELSEA ELIZABETH ETHERIDGE LCMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 73823 |
Most Important Dates
| Enumeration Date: | 03/10/2020 |
| Last Updated: | 08/10/2023 |
Provider Practice Location
324 SUNNY HILL LN
MILL SPRING
NC
287560646
Practice Location Phone/Fax
| Phone: | 9032532921 |
| Fax: | 9032532921 |
Provider Mailing Location
324 SUNNY HILL LN
MILL SPRING
NC
287560646
Provider Mailing Phone/Fax
| Phone: | 9032532921 |
| Fax: | 9032532921 |