Ethan Keyes Vandermark
Ethan Keyes Vandermark is a Counselor in Northampton, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
113 Market St Apt 2Northampton, MA 01060-3211
Phone: (603) 502-3714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1710389556 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 24, 2014 |
| Last updated in NPPES | October 17, 2014 |
| Mailing address | 113 Market St, Apt. 2, Northampton, MA 01060-3211 |
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