Individual provider · Type 1 NPI

Johnathan Ertwine

Professional Counselor · Bensalem, PA

NPI number 1962100792 Active

Practice location

1950 Street Rd Ste 410
Bensalem, PA 19020-3752

Call (855) 284-7483 Map

Fax (617) 807-0958

Mailing address

PO Box 748465
Atlanta, GA 30374-8465

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1962100792

Johnathan Ertwine's National Provider Identifier is 1962100792, issued on Feb 21, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bensalem, PA. The record was last updated on Feb 21, 2023.