ROGER NICHOLAS ETHERINGTON LMHC NPI 1861063364

NPI Information

NPI: 1861063364
Provider Name: ROGER NICHOLAS ETHERINGTON, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
5620 112TH ST E STE 215
PUYALLUP, WA
ZIP 98373
Phone: (253) 446-7176
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Roger Nicholas Etherington, LMHC is a mental health counselor in Puyallup, WA. Roger Nicholas Etherington, LMHC NPI is 1861063364. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5620 112TH ST E STE 215
PUYALLUP, WA
ZIP 98373-206
Phone: (253) 446-7176

The enumeration date for this NPI number is 7/6/2021 and was last updated on 7/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LH61147792	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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