| NPI | 1275309734 |
|---|---|
| Doing Business As | CORA ETHERIDGE |
| Entity Type | Organization |
| Authorized Contact | CORA ANN ETHERIDGE Licensed Mental Health Counselor 321-324-8147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-27 |