Individual
DAVID KETOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHCA
Contact information
Practice address
1539 NE 177TH ST STE B, SHORELINE, WA 98155-5279
(206) 401-4639
Mailing address
621 N 179TH ST, SHORELINE, WA 98133-4727
(206) 401-4639
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
60904560
WA
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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