MS. Samonia Lynn Etheridge, LPC
NPI #1619014891 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1619014891
- Entity Type
- Individual
- Name
- MS. Samonia Lynn Etheridge, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1414 CHERRY ST
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-3218
- Phone
- (601) 636-5703
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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