Individual
BARBARA B KETCHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC LIC MENTAL HEAL
Contact information
Practice address
4375 US HIGHWAY 17, SUITE 103, FLEMING ISLAND, FL 32003-4832
(904) 269-0886
(904) 269-0499
Mailing address
4375 US HIGHWAY 17, SUITE 103, FLEMING ISLAND, FL 32003-4832
(904) 269-0886
(904) 269-0499
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH2778
FL
Other
Enumeration date
01/17/2007
Last updated
02/03/2017
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