Individual provider · Type 1 NPI

Megan Ethridge

Professional Counselor · Los Angeles, CA

NPI number 1053926261 Active

Practice location

663 Lillian Way
Los Angeles, CA 90004-1107

Mailing address

1171 N Orange Grove Ave
West Hollywood, CA 90046-5308

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500X18495 (CA)

Professional Counselor: Definition to come...

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About NPI 1053926261

Megan Ethridge's National Provider Identifier is 1053926261, issued on Sep 14, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 23, 2025.