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Shantale Etheridge
Professional Counselor in Killeen, Texas
NPI 1801338538

Shantale Etheridge is a Professional Counselor based in Killeen, TX and is specialized in Professional. Shantale Etheridge practices in Killeen, TX. The NPI Number for Shantale Etheridge is 1801338538 and holds a License No. 1920 (Texas).

The current practice location address for Shantale Etheridge is 2403 W Stan Schlueter Loop Unit 690125, Killeen, TX and can be reached out via phone at 254-499-2905.

Location: 2403 W Stan Schlueter Loop Unit 690125, Killeen, TX, 76549-0206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801338538
Provider Name
Shantale Etheridge
Credential
Provider Entity Type
Individual
Gender
Female
Address
2403 W Stan Schlueter Loop Unit 690125, Killeen, TX, 76549-0206
Phone Number
254-499-2905
Fax Number
Provider Enumeration Date
11/11/2016
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
2403 W Stan Schlueter Loop Unit 690125
City
Killeen
State
Texas
Zip
76549-0206
Phone Number
254-499-2905
Fax Number
person
Provider Business Mailing Address Details
Address
2403 W Stan Schlueter Loop Unit 690125
City
Killeen
State
Texas
Zip
76549-0206
Phone Number
254-499-2905
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
1920 (Mississippi)
Definition
Definition to come...
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