Individual
JACLYN NICOLE KETCHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
1005 WHITE WILLOW WAY, MORGANTOWN, WV 26505-6119
(304) 212-7238
Mailing address
1793 GOLDEN OAKS RD, HOLBROOK, PA 15341-1719
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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