Jack Kettering, MA

NPI #1043516925 in Layton, Utah

Provider Information

NPI Number: 1043516925
Entity Type: Individual
Name: Jack Kettering, MA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: MA
Enumeration Date: Feb 9, 2011
Last Updated: Oct 14, 2013

Practice Location

Address: 930 W HILL FIELD RD
Address 2: A
City: Layton
State: Utah
ZIP Code: 84041-4662
Phone: (801) 366-3040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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