Individual
MR. ERVIN VINCENT KETCHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
222 SOUTHSIDE AVE, MOORESVILLE, NC 28115-3235
(704) 658-0238
(704) 658-0896
Mailing address
222 SOUTHSIDE AVE, MOORESVILLE, NC 28115-3235
(704) 658-0238
(704) 658-0896
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8916
NC
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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