person
Liesa Etheridge
Mental Health Counselor in Frankfort, Indiana
NPI 1023567138

Liesa Etheridge is a Mental Health Counselor based in Indianapolis, IN and is specialized in Mental Health. Liesa Etheridge practices in Frankfort, IN. The NPI Number for Liesa Etheridge is 1023567138 and holds a License No. 39002925A (Indiana).

The current practice location address for Liesa Etheridge is 205 N Jackson St, Frankfort, IN and can be reached out via phone at 765-659-4771.

Location: 205 N Jackson St, Frankfort, IN, 46250-2805
person
Provider Profile Details
NPI Number
1023567138
Provider Name
Liesa Etheridge
Credential
Provider Entity Type
Individual
Gender
Female
Address
205 N Jackson St, Frankfort, IN, 46250-2805
Phone Number
765-659-4771
Fax Number
Provider Enumeration Date
09/30/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
205 N Jackson St
City
State
Zip
46041-1936
Phone Number
765-659-4771
Fax Number
person
Provider Business Mailing Address Details
Address
205 N Jackson St
City
State
Zip
46041-1936
Phone Number
765-659-4771
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
39002925A (Indiana)
Definition
Definition to come...
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