Individual
RICHARD ERTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
286 TRAPPER RIDGE LN, HEDGESVILLE, WV 25427-7166
(540) 331-1152
Mailing address
286 TRAPPER RIDGE LN, HEDGESVILLE, WV 25427-7166
(540) 331-1152
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3237
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC3237
LICENSED CLINICAL PROFESSIONAL COUNSELOR
MD
Enumeration date
10/06/2011
Last updated
10/06/2014
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