Individual
MICHAEL BRUCE ETZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1218 E 9TH ST STE 4, EDMOND, OK 73034-5796
(405) 476-5826
Mailing address
3905 SPRING HILL DR, EDMOND, OK 73013-6929
(405) 476-5826
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/15/2013
Last updated
08/26/2024
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