Individual provider · Type 1 NPI

Marcel Anton Ettesvold

Peer Specialist · Kennewick, WA

NPI number 1669949368 Active

Practice location

3321 W Kennewick Ave Ste 150
Kennewick, WA 99336-2968

Call (509) 783-2085 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XCG60817318 (WA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1669949368

Marcel Anton Ettesvold's National Provider Identifier is 1669949368, issued on Oct 31, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Kennewick, WA. The record was last updated on Aug 29, 2019.