Individual
JENIFER NICOLE KETTERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7363 W 26TH PL, WHEAT RIDGE, CO 80033-8011
(614) 353-8779
Mailing address
7363 W 26TH PL, WHEAT RIDGE, CO 80033-8011
(614) 353-8779
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
225800000X
Recreation Therapist
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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