Individual
ETHAN TUXILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
330 S 9TH ST, PITTSBURGH, PA 15203-1266
(412) 246-2962
Mailing address
330 S 9TH ST, PITTSBURGH, PA 15203-1266
(412) 246-2962
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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