Individual provider · Type 1 NPI

Joseph Robert Eatherly, LPC

Professional Counselor · San Antonio, TX

NPI number 1720303134 Active

Practice location

540 Oak Centre Dr Ste 205
San Antonio, TX 78258-4767

Mailing address

49500 Cr E 1600
Stratford, OK 74872

Other practice locations

  • 108 W Main St, Tishomingo, OK 73460-1723 · (580) 371-3019

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Professional Counselor 101YP2500X5004 (OK)
Professional Counselor Primary 101YP2500X98464 (TX)

Professional Counselor: Definition to come...

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About NPI 1720303134

Joseph Robert Eatherly, LPC's National Provider Identifier is 1720303134, issued on Mar 30, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Antonio, TX. The record was last updated on May 27, 2025.