Carly Ketchum, LMFT
NPI #1285085597 in San Juan Capistrano, California
Provider Information
- NPI Number
- 1285085597
- Entity Type
- Individual
- Name
- Carly Ketchum, LMFT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Credential
- LMFT
- Enumeration Date
- Jun 28, 2016
- Last Updated
- Sep 10, 2020
Practice Location
- Address
- 30200 RANCHO VIEJO RD STE D
- State
- California
- ZIP Code
- 92675-1560
- Phone
- (949) 391-1812
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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