Individual
MS. CAROL LYNN KETCHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1 W ELLIOT RD, SUITE 101, TEMPE, AZ 85284-1310
(480) 694-8979
Mailing address
1 W ELLIOT RD, SUITE 101, TEMPE, AZ 85284-1310
(480) 694-8979
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC11142
AZ
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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