Individual provider · Type 1 NPI

PJ Etnol

Mental Health Counselor · La Grande, OR

NPI number 1215623962 Active

Practice location

2301 Cove Ave
La Grande, OR 97850-3906

Fax (541) 963-5272

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1215623962

PJ Etnol's National Provider Identifier is 1215623962, issued on Apr 14, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in La Grande, OR. The record was last updated on Apr 14, 2023.