Individual
ASHLEY VICTORIA ETHERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5950 FAIRVIEW RD STE 770, CHARLOTTE, NC 28210-3142
(704) 457-7834
Mailing address
5143 BECKFORD DR, CHARLOTTE, NC 28226-4907
(704) 604-9630
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A14870
NC
Other
Enumeration date
12/29/2019
Last updated
12/29/2019
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