Individual
MS. KATHLEEN SHARON KETCHAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A.,LMFT
Contact information
Practice address
117 N 1ST ST, SUITE 54, MOUNT VERNON, WA 98273-2859
(360) 336-2842
(360) 336-2521
Mailing address
117 N 1ST ST, SUITE 54, MOUNT VERNON, WA 98273-2859
(360) 336-2842
(360) 336-2521
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00001140
WA
Other
Enumeration date
02/06/2006
Last updated
07/08/2007
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