Individual
DR. JAMES PHILLIP ETZKORN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
400 MAYNARD ST, SUITE 603, ANN ARBOR, MI 48104-2440
(734) 913-9761
(734) 222-7054
Mailing address
400 MAYNARD ST, SUITE 603, ANN ARBOR, MI 48104-2440
(734) 913-9761
(734) 222-7054
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301009499
MI
Other
Enumeration date
10/25/2005
Last updated
07/08/2007
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