Ryan Ettner's National Provider Identifier (NPI) Details
Ryan Ettner, LCSW-45249
NPI: 1356005367
Enumeration Date: 2021-10-26
Last updated: 2024-12-30
Sole Proprietor: NO
Status: active
Postal Address: 1875 N LAKEWOOD DR, COEUR D ALENE, ID
Phone: 208-771-7284
Primary Practice Address: 1875 N LAKEWOOD DR, COEUR D ALENE, ID
Practice's phone: 208-771-7284