Organization
MARRIAGE MADE BETTER RELATIONSHIP COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLY MARIE KETCHUM LMFT (LMFT)
(949) 391-1812
Entity
Organization
Contact information
Practice address
30200 RANCHO VIEJO ROAD, SUITE D, SAN JUAN CAPISTRANO, CA 92675
(949) 391-1812
Mailing address
47 CORTE VIDRIOSA, SAN CLEMENTE, CA 92673
(949) 391-1812
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LMFT81406
CA
Other
Enumeration date
06/28/2016
Last updated
07/20/2018
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