person
Ms. Samonia Lynn Etheridge, LPC
Professional Counselor in Vicksburg, Mississippi
NPI 1619014891

Samonia Lynn Etheridge is a Professional Counselor based in Vicksburg, MS and is specialized in Professional. Samonia Lynn Etheridge practices in Vicksburg, MS and has the professional credentials of LPC. The NPI Number for Samonia Lynn Etheridge is 1619014891 and holds a License No. 1046 (Mississippi).

The current practice location address for Samonia Lynn Etheridge is 1414 Cherry St, Vicksburg, MS and can be reached out via phone at 601-636-5703 and via fax at 601-636-5739. You can also correspond with Samonia Lynn Etheridge through the mailing address at 1414 CHERRY ST, VICKSBURG, MS - 39180-3218 (mailing address contact number: 601-636-5703).

Location: 1414 Cherry St, Vicksburg, MS, 39180-3218
person
Provider Profile Details
NPI Number
1619014891
Provider Name
Samonia Lynn Etheridge
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1414 Cherry St, Vicksburg, MS, 39180-3218
Phone Number
601-636-5703
Fax Number
601-636-5739
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1414 Cherry St
City
State
Zip
39180-3218
Phone Number
601-636-5703
Fax Number
601-636-5739
person
Provider Business Mailing Address Details
Address
1414 Cherry St
City
State
Zip
39180-3218
Phone Number
601-636-5703
Fax Number
601-636-5739
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1046 (Mississippi)
Definition
Definition to come...
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