Individual
CARRIE CRISTINA ETHERINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 SAINT ANDREWS LOOP STE D, PASCO, WA 99301-3386
(509) 575-4084
(406) 234-4039
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959
(509) 575-4084
(406) 234-4039
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1249
MT
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/27/2010
Last updated
11/30/2019
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