Individual
JOHN ETLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
435 CHESTNUT ST, MEADVILLE, PA 16335-4404
(814) 807-0861
Mailing address
435 CHESTNUT ST, MEADVILLE, PA 16335-4404
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC007588
PA
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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