Individual
JOSEPH HUGH ETHEREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
263 ALMON RD, CARROLLTON, GA 30117-1903
(770) 546-5398
Mailing address
153 GRIZZLY TRL, CARROLLTON, GA 30117-4974
(470) 729-0987
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC014279
GA
Other
Enumeration date
10/27/2021
Last updated
01/10/2024
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