Individual
CORI ETTELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
418 STUMP RD STE 205, MONTGOMERYVILLE, PA 18936-9645
(267) 405-2021
Mailing address
561 DOGWOOD DR, AMBLER, PA 19002-6109
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC008389
PA
Other
Enumeration date
11/02/2015
Last updated
11/16/2021
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