Isaiah Ketcham, MA, AMFT
NPI #1134681802 in San Clemente, California
Provider Information
- NPI Number
- 1134681802
- Entity Type
- Individual
- Name
- Isaiah Ketcham, MA, AMFT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- MA, AMFT
- Enumeration Date
- Apr 2, 2019
- Last Updated
- Apr 2, 2019
Practice Location
- Address
- 616 S EL CAMINO REAL
- City
- San Clemente
- State
- California
- ZIP Code
- 92672-4298
- Phone
- (949) 226-9265
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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