Individual
MEGAN ETHRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
663 LILLIAN WAY, LOS ANGELES, CA 90004-1107
(323) 363-7271
Mailing address
1171 N ORANGE GROVE AVE, WEST HOLLYWOOD, CA 90046-5308
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
18495
CA
Other
Enumeration date
09/14/2020
Last updated
01/23/2025
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