Individual
ETSON KENNY BARTHELUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 SAINT GEORGES AVE STE E, AVENEL, NJ 07001-1000
(862) 600-3946
Mailing address
1500 SAINT GEORGES AVE STE E, AVENEL, NJ 07001-1000
(862) 600-3946
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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