Jeannene Ethridge
Jeannene Ethridge is a Counselor in Marion, Illinois. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1307 W Main StMarion, IL 62959-1139
Phone: (618) 997-5336
Fax: (618) 993-2969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1598436529 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 21, 2021 |
| Last updated in NPPES | September 21, 2021 |
| Certification date | September 21, 2021 |
| Mailing address | 902 W Main St, West Frankfort, IL 62896-2210 |
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