Individual
RICKEY ETHERIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3348 MAIN ST STE 100, BRYANT, AR 72022-5013
(501) 443-3824
(501) 521-1001
Mailing address
3348 MAIN ST STE 100, BRYANT, AR 72022-5013
(501) 443-3824
(501) 521-1001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P0907039
AR
101YP2500X
Professional Counselor
Primary
P0907039
AR
Other
Enumeration date
09/03/2006
Last updated
11/20/2024
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