Individual
MR. CHRISTOPHER MATTHEW MCKETHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW-CP
Contact information
Practice address
529 QUEEN ST, COLUMBIA, SC 29205-2370
(704) 961-6467
Mailing address
529 QUEEN ST, COLUMBIA, SC 29205-2370
(704) 961-6467
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
14279
SC
1041C0700X
Clinical Social Worker
C017202
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
576000922
—
SC
Enumeration date
05/04/2016
Last updated
01/28/2026
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