Individual
MR. STEVEN KETZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAMP COUNSELOR
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/01/2012
Last updated
07/01/2012
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