David Scott Ketcham, BA

NPI #1609180041 in Rawlins, Wyoming

Provider Information

NPI Number
1609180041
Entity Type
Individual
Name
David Scott Ketcham, BA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
BA
Enumeration Date
Jul 27, 2010
Last Updated
Jul 27, 2010

Practice Location

Address
143 SONORA CT
State
Wyoming
ZIP Code
82301-5115
Phone
(307) 324-7156

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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