Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PJ ETNOL
ActivePJ ETNOL is a Mental Health Counselor healthcare provider located in LA GRANDE, Oregon. NPI 1215623962 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · LA GRANDE, OR
Registration Details
- NPI Number
- 1215623962
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2023 (3.309414783437 yrs)
- Last Updated
- Apr 14, 2023
Practice Information
- Address
-
2301 COVE AVELA GRANDE, OR, 978503906Browse OR providers · Browse ZIP 97850
- Phone
- 5419628800
- Fax
- 5419635272
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in LA GRANDE, OR
| Name | Credential | NPI |
|---|---|---|
| LISA L LADENDORFF | LCSW | 1043239767 |
| MR. JEFFERY CALLISON | LPC, CADCIII | 1881616399 |
| BARBARA SUZANNE MADDEN | BA, QMHP, CADCI | 1891719043 |
| WILLIAM STINCHCOMB | MSW | 1528082773 |
| DAYNEEN KOOPMAN | MA, QMHP | 1053442392 |
| MELISSA OVER | MSW | 1194037036 |
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.