Provider Demographics
NPI:1023224086
Name:ETHINGTON, ETHEL (LMFT)
Entity Type:Individual
Prefix:MS
First Name:ETHEL
Middle Name:
Last Name:ETHINGTON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2326 COLGATE DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-5309
Mailing Address - Country:US
Mailing Address - Phone:910-483-9684
Mailing Address - Fax:910-483-1175
Practice Address - Street 1:2326 COLGATE DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-5309
Practice Address - Country:US
Practice Address - Phone:910-483-9684
Practice Address - Fax:910-483-1175
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC406106H00000X
SC3250106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist