Individual provider · Type 1 NPI
Nicole Darlene Ethridge, MA, LPC
Professional Counselor · Huntington Beach, CA
NPI number
1760974596
Active
Practice location
5904 Warner Ave Unit 413
Huntington Beach, CA 92649-4670
Mailing address
1300 E Bradford Pkwy
Springfield, MO 65804-4264
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00899200 (NJ) |
| Counselor | 101Y00000X | 2018013675 (MO) |
| Professional Counselor | 101YP2500X | PC-0011186 (DE) |
| Professional Counselor Primary | 101YP2500X | 16030 (CA) |
Professional Counselor: Definition to come...
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About NPI 1760974596
Nicole Darlene Ethridge, MA, LPC's National Provider Identifier is 1760974596, issued on Jun 6, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Huntington Beach, CA. The record was last updated on Jan 5, 2026.