Individual
KAITLIN R KETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
2970 S CHASE AVE, MILWAUKEE, WI 53207-6407
(480) 935-5976
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(480) 935-5976
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20460-130
WI
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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