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Marcel Anton Ettesvold
Peer Specialist in Kennewick, Washington
NPI 1669949368

Marcel Anton Ettesvold is a Peer Specialist based in Kennewick, WA. Marcel Anton Ettesvold practices in Kennewick, WA. The NPI Number for Marcel Anton Ettesvold is 1669949368 and holds a License No. CG60817318 (Washington).

The current practice location address for Marcel Anton Ettesvold is 3321 W Kennewick Ave Ste 150, Kennewick, WA and can be reached out via phone at 509-783-2085.

Location: 3321 W Kennewick Ave Ste 150, Kennewick, WA, 99336-2968
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669949368
Provider Name
Marcel Anton Ettesvold
Credential
Provider Entity Type
Individual
Gender
Male
Address
3321 W Kennewick Ave Ste 150, Kennewick, WA, 99336-2968
Phone Number
509-783-2085
Fax Number
Provider Enumeration Date
10/31/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3321 W Kennewick Ave Ste 150
City
Kennewick
State
Washington
Zip
99336-2968
Phone Number
509-783-2085
Fax Number
person
Provider Business Mailing Address Details
Address
3321 W Kennewick Ave Ste 150
City
Kennewick
State
Washington
Zip
99336-2968
Phone Number
509-783-2085
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CG60817318 (Washington)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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