Individual provider · Type 1 NPI

Laritha Anne Ethridge

Addiction (Substance Use Disorder) Counselor · Toledo, OH

NPI number 1215443254 Active

Practice location

2005 Ashland Ave
Toledo, OH 43620-1703

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDA.178652 (OH)

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About NPI 1215443254

Laritha Anne Ethridge's National Provider Identifier is 1215443254, issued on Dec 28, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Toledo, OH. The record was last updated on Sep 20, 2022.