Individual
CHRISTINE ETHERIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1401 CHEROKEE ROSE LN, BURLESON, TX 76028-0503
(817) 996-4757
Mailing address
1401 CHEROKEE ROSE LN, BURLESON, TX 76028-0503
(817) 996-4757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
17693
TX
101YP2500X
Professional Counselor
Primary
17693
TX
Other
Enumeration date
02/22/2022
Last updated
01/30/2026
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