Individual
AMANDA ETHRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 PARK PL NE, ATLANTA, GA 30303
(404) 616-4444
Mailing address
1900 THE EXCHANGE SE STE 100, ATLANTA, GA 30339-2022
(404) 626-9520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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