Etheridge, Joanne Carol

Etheridge, Joanne Carol is an sole proprietor health care provider with primary practice located at 31625 Highway 101 S , Soledad CA 93960-9529. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Etheridge, Joanne Carol can be contacted via phone (831) 678-5500.

Contact Information

Primary practice address
31625 Highway 101 S Soledad CA 93960-9529
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 8855 California

Profile Details

NPI number 1003111717
LBN Legal business name Etheridge, Joanne Carol
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2011
Last updated Jan 11th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003111717 NPPES
Arizona Other CPR702A51404 ANTHEM BLUE CROSS

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