Individual
MRS. KRISTYN ROUSE ETHEREDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
100 WESTSIDE DR., DOTHAN, AL 36303
(334) 793-2237
(334) 712-6256
Mailing address
100 WESTSIDE DR, DOTHAN, AL 36303-1908
(334) 793-2237
(334) 712-6256
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3323
AL
101YM0800X
Mental Health Counselor
C2041A
AL
Other
Enumeration date
10/18/2012
Last updated
12/11/2025
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