Individual
ELLIOTT KETAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
218 W PEMBREY DR, WILMINGTON, DE 19803-2008
(302) 650-1550
Mailing address
218 W PEMBREY DR, WILMINGTON, DE 19803-2008
(302) 650-1550
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YS0200X
School Counselor
80482
DE
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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