Individual
DR. JARLINE ANN KETOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
24586 HAWTHORNE BLVD, #103, TORRANCE, CA 90505-6857
(310) 541-6145
Mailing address
5016 MACAFEE RD, TORRANCE, CA 90505-4331
(310) 541-6145
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY14457
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
215972
CA
Other
Enumeration date
12/14/2006
Last updated
03/05/2009
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