Individual provider · Type 1 NPI

Maribeth Dippie Ethridge-Hicks

Addiction (Substance Use Disorder) Counselor · Metropolis, IL

NPI number 1447863063 Active

Practice location

206 W 5th St
Metropolis, IL 62960-1810

Call (618) 524-9368 Map

Mailing address

985 Bethlehem Church Ln
Vienna, IL 62995-3717

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1447863063

Maribeth Dippie Ethridge-Hicks's National Provider Identifier is 1447863063, issued on Aug 24, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Metropolis, IL. The record was last updated on Aug 24, 2020.