Provider Demographics
NPI:1477837755
Name:ETHIER, ANNE C H (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:C H
Last Name:ETHIER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 CURTIS WAY
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30605-3919
Mailing Address - Country:US
Mailing Address - Phone:706-614-6060
Mailing Address - Fax:
Practice Address - Street 1:150 CURTIS WAY
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30605-3919
Practice Address - Country:US
Practice Address - Phone:706-614-6060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional