Search › California › 103TC0700X
Richard Ettelson, PHD
NPI 1174569453 · on the registry since 2006
Practice
- Address
- 10630 Town Center Dr Ste 120
Rancho Cucamonga, CA 91730 - Phone
- (909) 989-0901
- Fax
- (909) 941-1087
- Organisation at this address
- Kimberly M Holton
Skecounseling Llc
Juanita Rodriguez Lcsw
Nguyen Tabari Dental Inc
New Horizons Therapy GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Additional practice sites
- 10722 Arrow Rte, Rancho Cucamonga, CA
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-09-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California