Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES EARL ETHERIDGE JR., CDCA
ActiveMR. CHARLES EARL ETHERIDGE JR., CDCA is a Addiction (Substance Use Disorder) Counselor healthcare provider located in ELYRIA, Ohio. NPI 1245759794 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · ELYRIA, OH
Registration Details
- NPI Number
- 1245759794
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 15, 2017 (8.8912473627339 yrs)
- Last Updated
- Sep 15, 2017
- License
-
CDCA.164758 (OH)
Practice Information
- Address
-
1131 E BROAD STELYRIA, OH, 440356305Browse OH providers · Browse ZIP 44035
- Phone
- 4403651900
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in ELYRIA, OH
| Name | Credential | NPI |
|---|---|---|
| MS. MARY MARGARET MIGRA | LISW, LICDC | 1427088145 |
| ALLISON BALE | MSW, LSW, LICDC | 1487938239 |
| PAULA SREBALA | LSW | 1639580384 |
| ALFREDO BUCIO | — | 1366824435 |
| STEVEN MARKS | BSCJ,CDCA | 1477935435 |
| JANE BRAGG-BARNES | CDCA | 1114475258 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.