Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARCEL ANTON ETTESVOLD
Active Sole ProprietorMARCEL ANTON ETTESVOLD is a Peer Specialist healthcare provider located in KENNEWICK, Washington. NPI 1669949368 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · KENNEWICK, WA
Registration Details
- NPI Number
- 1669949368
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2018 (7.7418679228869 yrs)
- Last Updated
- Aug 29, 2019
- License
-
CG60817318 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3321 W KENNEWICK AVE STE 150KENNEWICK, WA, 993362968Browse WA providers · Browse ZIP 99336
- Phone
- 5097832085
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in KENNEWICK, WA
| Name | Credential | NPI |
|---|---|---|
| FELIPA G BARRON | CPC | 1316414238 |
| RHONDA BATCHELOR | — | 1518434307 |
| MORGAN MOHS | — | 1073080867 |
| BRANDY LYNN HENDRICKSON | — | 1760959332 |
| JOANNA O LICON | — | 1184192403 |
| DERRICK WILLIAM KENNETH RUTAN | — | 1841768959 |
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.