Individual
TERRI JO GILLER ETHERIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMHC
Contact information
Practice address
2020 LAKEMOOR PL SW, OLYMPIA, WA 98512-5541
(217) 204-1562
Mailing address
100 N HOWARD ST STE W, SPOKANE, WA 99201-0508
(217) 204-1562
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2776
WV
101YM0800X
Mental Health Counselor
0701010735
VA
101YM0800X
Mental Health Counselor
Primary
2776
WV
101YP2500X
Professional Counselor
0701010735
VA
101YP2500X
Professional Counselor
2776
WV
101YP2500X
Professional Counselor
Primary
MHC.LH.70015819
WA
Other
Enumeration date
11/08/2022
Last updated
04/15/2026
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