Individual provider · Type 1 NPI

Cora Ann Etheridge, LMHC

Mental Health Counselor · Melbourne, FL

NPI number 1922471440 Active

Practice location

3040 No. Wickham Rd, Suite 3
Melbourne, FL 32935-2699

Call (321) 223-3376 Map

Mailing address

1213 Winding Meadows Rd
Rockridge Fl, FL 32955-8404

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH13764 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1922471440

Cora Ann Etheridge, LMHC's National Provider Identifier is 1922471440, issued on Nov 5, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Melbourne, FL. The record was last updated on Feb 1, 2024.