Individual
PAMELA ANN KETTERLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3248 W AVENIDA LUNA, TUCSON, AZ 85746-8217
(520) 578-2433
(520) 578-9454
Mailing address
3248 W AVENIDA LUNA, TUCSON, AZ 85746-8217
(520) 578-2433
(520) 578-9454
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A5
THERAPEUTIC FOSTER CARE H
AZ
Enumeration date
10/05/2006
Last updated
07/08/2007
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