Individual provider · Type 1 NPI

Jaclyn Ethridge, LPC

Professional Counselor · Griffin, GA

NPI number 1205319241 Active

About NPI 1205319241

Jaclyn Ethridge, LPC's National Provider Identifier is 1205319241, issued on Sep 14, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Griffin, GA. The record was last updated on Sep 14, 2018.