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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ETHAN BARDELL

Active

ETHAN BARDELL is a Counselor healthcare provider located in CORTLAND, New York. NPI 1215583067 is currently active in the NPPES registry. Verify at CMS.

Counselor · CORTLAND, NY

Registration Details

NPI Number
1215583067
Provider Type
Individual
Gender
Male
NPI Issued
Aug 16, 2019 (6.8122946825319 yrs)
Last Updated
Aug 16, 2019
License
101837 (NY)

Practice Information

Address
165 MAIN ST
STE A
CORTLAND, NY, 130453049
Browse NY providers · Browse ZIP 13045
Phone
6077530234
Primary Specialty
Counselor
101Y00000X

Other Counselor Providers in CORTLAND, NY

Name Credential NPI
ANDREA LISA HOLMES LCSW 1912096512
KATHRYN COLLEEN GALLUP LCSW 1275728362
BRIAN JOSEPH CORBIN CASAC, LMSW 1316113434
LAURA SAWYER LMSW, CASAC 1538319017
AMANDA STOUT LCSW 1982840344
ANDREW TUNISON MHC-LP 1700191327
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.