person
Mr. Charles Earl Etheridge JR., CDCA
Addiction (Substance Use Disorder) Counselor in Elyria, Ohio
NPI 1245759794

Charles Earl Etheridge JR. is an Addiction (Substance Use Disorder) Counselor based in Elyria, OH and is specialized in Addiction (Substance Use Disorder). Charles Earl Etheridge JR. practices in Elyria, OH and has the professional credentials of CDCA. The NPI Number for Charles Earl Etheridge JR. is 1245759794 and holds a License No. CDCA.164758 (Ohio).

The current practice location address for Charles Earl Etheridge JR. is 1131 E Broad St, Elyria, OH and can be reached out via phone at 440-365-1900. You can also correspond with Charles Earl Etheridge JR. through the mailing address at 1131 E BROAD ST, ELYRIA, OH - 44035-6305 (mailing address contact number: ).

Location: 1131 E Broad St, Elyria, OH, 44035-6305
person
Provider Profile Details
NPI Number
1245759794
Provider Name
Charles Earl Etheridge JR.
Credential
CDCA
Provider Entity Type
Individual
Gender
Male
Address
1131 E Broad St, Elyria, OH, 44035-6305
Phone Number
440-365-1900
Fax Number
Provider Enumeration Date
09/15/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1131 E Broad St
City
State
Zip
44035-6305
Phone Number
440-365-1900
Fax Number
person
Provider Business Mailing Address Details
Address
1131 E Broad St
City
State
Zip
44035-6305
Phone Number
440-365-1900
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDCA.164758 (Ohio)
Definition
Definition to come...
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