Ethan Cole Spicer
NPI #1740788959 in Tennessee Ridge, Tennessee
Provider Information
- NPI Number
- 1740788959
- Entity Type
- Individual
- Name
- Ethan Cole Spicer
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jan 23, 2018
- Last Updated
- Jan 23, 2018
Practice Location
- Address
- 1330 N MAIN ST
- City
- Tennessee Ridge
- State
- Tennessee
- ZIP Code
- 37178-4003
- Phone
- (931) 721-3312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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