Individual
JOHNATHAN ERTWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1950 STREET RD STE 410, BENSALEM, PA 19020-3752
(855) 284-7483
(617) 807-0958
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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