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Roger Nicholas Etherington, LMHC
Mental Health Counselor in Puyallup, Washington
NPI 1861063364

Roger Nicholas Etherington is a Mental Health Counselor based in Puyallup, WA and is specialized in Mental Health. Roger Nicholas Etherington practices in Puyallup, WA and has the professional credentials of LMHC. The NPI Number for Roger Nicholas Etherington is 1861063364 and holds a License No. LH61147792 (Washington).

The current practice location address for Roger Nicholas Etherington is 5620 112Th St E Ste 215, Puyallup, WA and can be reached out via phone at 253-446-7176.

Location: 5620 112Th St E Ste 215, Puyallup, WA, 98373-3206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861063364
Provider Name
Roger Nicholas Etherington
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
5620 112Th St E Ste 215, Puyallup, WA, 98373-3206
Phone Number
253-446-7176
Fax Number
Provider Enumeration Date
07/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5620 112Th St E Ste 215
City
Puyallup
State
Washington
Zip
98373-3206
Phone Number
253-446-7176
Fax Number
person
Provider Business Mailing Address Details
Address
5620 112Th St E Ste 215
City
Puyallup
State
Washington
Zip
98373-3206
Phone Number
253-446-7176
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LH61147792 (Washington)
Definition
Definition to come...
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