Individual
MR. ANDREW C ETHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
83 SUNSET DR, CHARLTON, MA 01507-5434
(508) 248-0221
Mailing address
83 SUNSET DR, CHARLTON, MA 01507-5434
(508) 248-0221
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
340
MA
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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