Individual provider · Type 1 NPI
Traci Etheridge
Addiction (Substance Use Disorder) Counselor · Edenton, NC
NPI number
1124882337
Active
Practice location
124 Morris Lane
Edenton, NC 27932
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1124882337
Traci Etheridge's National Provider Identifier is 1124882337, issued on Feb 8, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Edenton, NC. The record was last updated on Feb 8, 2024.