Individual provider · Type 1 NPI

Shantale Etheridge

Professional Counselor · Killeen, TX

NPI number 1801338538 Active

Practice location

6000 Brushy Creek Dr
Killeen, TX 76549-2001

Call (254) 519-8803 Map

Fax (254) 519-8805

Mailing address

2403 W Stan Schlueter Loop Unit 690125
Killeen, TX 76549-0206

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X79090 (TX)

Professional Counselor: Definition to come...

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About NPI 1801338538

Shantale Etheridge's National Provider Identifier is 1801338538, issued on Nov 11, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Killeen, TX. The record was last updated on Aug 27, 2026.