Individual provider · Type 1 NPI
Martin Sean Etheridge
Community/Behavioral Health Agency · Pageland, SC
Practice location
212 W Mcgregor St
Pageland, SC 29728-2137
Other practice locations
- 939 Springdale Dr, Clinton, SC 29325-7266 · (910) 742-9243
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 6059 (SC) |
| Community/Behavioral Health Agency Primary | 251S00000X | 6059 (SC) |
Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…
3 other providers at this address
About NPI 1962705863
Martin Sean Etheridge's National Provider Identifier is 1962705863, issued on Dec 15, 2010. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Pageland, SC. The record was last updated on Mar 21, 2025.