Individual provider · Type 1 NPI
Kristyn Rouse Etheredge, LPC
Mental Health Counselor · Dothan, AL
NPI number
1962755660
Active
Practice location
100 Westside Dr.
Dothan, AL 36303
Fax (334) 712-6256
Mailing address
100 Westside Dr
Dothan, AL 36303-1908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 3323 (AL) |
| Mental Health Counselor | 101YM0800X | C2041A (AL) |
Mental Health Counselor: Definition to come...
3 other providers at this address
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- Tracy Baugh Fussell, M.S., LPCMental Health Counselor Dothan, AL NPI 1134378599
- Jessica Cotton, ALCMental Health Counselor Dothan, AL NPI 1144959636
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About NPI 1962755660
Kristyn Rouse Etheredge, LPC's National Provider Identifier is 1962755660, issued on Oct 18, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dothan, AL. The record was last updated on Dec 11, 2025.