Individual
MR. ALAN P KETTERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMFT
Contact information
Practice address
5902 W CACTUS RD, GLENDALE, AZ 85304-1710
(623) 377-4737
Mailing address
18450 W BROOKWOOD DR, GOODYEAR, AZ 85338-6476
(623) 377-4737
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
15683
AZ
106H00000X
Marriage & Family Therapist
LAMFT-10584
AZ
Other
Enumeration date
04/17/2018
Last updated
09/29/2023
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