Individual
NICHOLAS A ETHERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC, NCC
Contact information
Practice address
5500 HARFORD RD STE 201, BALTIMORE, MD 21214-2290
(667) 706-9091
Mailing address
5500 HARFORD RD STE 201, BALTIMORE, MD 21214-2290
(667) 706-9091
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC11427
MD
Other
Enumeration date
03/12/2019
Last updated
05/24/2021
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