Individual
THERESA KETCHUM-FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 MAIN ST W, ASHLAND, WI 54806-1639
(715) 685-2200
Mailing address
7665 US HIGHWAY 2, IRON RIVER, WI 54847-4690
(715) 685-2200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6395-125
WI
Other
Enumeration date
09/05/2014
Last updated
03/01/2017
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