Individual
ETHAN R MESSENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 E BURD ST STE 1, SHIPPENSBURG, PA 17257-1328
(717) 477-2556
Mailing address
1260 2ND AVE, CHAMBERSBURG, PA 17202-9723
(717) 448-6780
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC011433
PA
101YP2500X
Professional Counselor
Primary
PC011433
PA
Other
Enumeration date
10/03/2019
Last updated
12/03/2020
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