Individual
JOSEPH WILLIAM ETTERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 S 1ST ST, LOUISVILLE, KY 40203-2202
(502) 585-9444
(502) 585-9466
Mailing address
950 S 1ST ST, LOUISVILLE, KY 40203-2202
(502) 585-9444
(502) 585-9466
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
242773
KY
221700000X
Art Therapist
Primary
277267
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
242773
DEPARTMENT OF PROFESSIONAL LICENSING
KY
Enumeration date
06/25/2018
Last updated
05/12/2022
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