person
William Thomas Gordon Etheridge
Mental Health Counselor in Raleigh, North Carolina
NPI 1205466885

William Thomas Gordon Etheridge is a Mental Health Counselor based in Durham, NC and is specialized in Mental Health. William Thomas Gordon Etheridge practices in Raleigh, NC. The NPI Number for William Thomas Gordon Etheridge is 1205466885 and holds a License No. 15542 (North Carolina).

The current practice location address for William Thomas Gordon Etheridge is Thriveworks, Raleigh, NC and can be reached out via phone at 919-642-4857.

Location: Thriveworks, Raleigh, NC, 27707-3152
person
Provider Profile Details
NPI Number
1205466885
Provider Name
William Thomas Gordon Etheridge
Credential
Provider Entity Type
Individual
Gender
Male
Address
Thriveworks, Raleigh, NC, 27707-3152
Phone Number
919-642-4857
Fax Number
Provider Enumeration Date
01/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Thriveworks
City
State
Zip
27615
Phone Number
919-642-4857
Fax Number
person
Provider Business Mailing Address Details
Address
Thriveworks
City
State
Zip
27615
Phone Number
919-642-4857
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
15542 (North Carolina)
Definition
Definition to come...
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