Individual
MS. DEBORAH FAYE KETCHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
133 BLAKELY RD, SUITE 213, COLCHESTER, VT 05446-4007
(802) 864-3999
Mailing address
133 BLAKELY RD, SUITE 213, COLCHESTER, VT 05446-4007
(802) 864-3999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680000576
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008536
—
VT
Enumeration date
09/28/2006
Last updated
07/09/2007
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