Individual provider · Type 1 NPI
Cori Ettelson, LPC
Professional Counselor · Montgomeryville, PA
NPI number
1881067643
Active
Practice location
418 Stump Rd Ste 205
Montgomeryville, PA 18936-9645
Mailing address
561 Dogwood Dr
Ambler, PA 19002-6109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PC008389 (PA) |
Professional Counselor: Definition to come...
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About NPI 1881067643
Cori Ettelson, LPC's National Provider Identifier is 1881067643, issued on Nov 2, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Montgomeryville, PA. The record was last updated on Nov 16, 2021.