Individual
KATE GUEST KETCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
7200 S ALTON WAY STE A250, CENTENNIAL, CO 80112-2247
(720) 441-3714
Mailing address
2236 E STANWYK DR, FAYETTEVILLE, AR 72703-3798
(918) 606-5990
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0017834
CO
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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