Individual provider · Type 1 NPI

Ethan Cole Spicer

Mental Health Counselor · Tennessee Ridge, TN

NPI number 1740788959 Active

Practice location

1330 N Main St
Tennessee Ridge, TN 37178-4003

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1740788959

Ethan Cole Spicer's National Provider Identifier is 1740788959, issued on Jan 23, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tennessee Ridge, TN. The record was last updated on Jan 23, 2018.