Search › Georgia › 101YP2500X
Jaclyn Ethridge, LPC
NPI 1205319241 · on the registry since 2018
Practice
- Address
- 1574 Williamson Rd
Griffin, GA 30224 - Phone
- (770) 358-5252
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-09-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia