Individual
ETHAN T URTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8670 210TH ST W, LAKEVILLE, MN 55044-7000
(180) 043-8177
Mailing address
W175N11120 STONEWOOD DR, GERMANTOWN, WI 53022-4799
(888) 685-9522
(262) 534-5556
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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