Individual
DAVID STANLEY KETCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
519 E MAIN ST, CUT BANK, MT 59427-3015
(406) 873-5670
(406) 873-2256
Mailing address
519 E MAIN ST, CUT BANK, MT 59427-3015
(406) 873-5670
(406) 873-2256
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
SWP-LCPC-LIC-11980
MT
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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