Nicole Darlene Ethridge is a Columbia, Missouri based counselor who is specialized as Professional Counselor. Active license number of Nicole Darlene Ethridge is 16030 for Professional Counselor in California. Her current practice location is 1805 E Walnut St, Columbia. Patients can book an appointment with her at 573-777-7500.
Nicole Darlene Ethridge is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. She uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Nicole Darlene Ethridge speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Nicole Darlene Ethridge
Specialization:
Professional Counselor
Gender:
Female
Credentials:
MA, LPC
Accepts Medicare Assignment:
No
Practice Address:
1805 E Walnut St, Columbia, Missouri, 65201-6425
Phone:
573-777-7500
Fax:
573-777-7505
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1760974596
NPI Enumeration Date:
06 Jun, 2018
NPI Last Update On:
01 Oct, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole Darlene Ethridge are as mentioned below.
License Number
Specialization
State
Status
16030
Professional Counselor
California
Primary
2018013675
Counselor
Missouri
Secondary
37PC00899200
Professional Counselor
New Jersey
Secondary
PC-0011186
Professional Counselor
Delaware
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Nicole Darlene Ethridge such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
490055189
Medicaid
Missouri
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1300 E Bradford Pkwy, Springfield, Missouri
Zip:
65804-4264
Phone Number:
417-761-5000
Fax Number:
417-761-5065
Patients can reach Nicole Darlene Ethridge at 1805 E Walnut St, Columbia, Missouri or can call to book an appointment on 573-777-7500. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.