Individual
MRS. ELAINE ANTHONY KETRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
404 N PERSHING ST, ENERGY, IL 62933-3530
(618) 942-2516
(618) 942-2516
Mailing address
208 N PERSHING ST UNIT 333, ENERGY, IL 62933-6118
(618) 942-2516
(618) 942-2516
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180-003332
IL
Other
Enumeration date
11/05/2007
Last updated
09/13/2012
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