MS. Ellen K Ketchum, LCSW-R

NPI #1679761134 in Cortland, New York

Provider Information

NPI Number: 1679761134
Entity Type: Individual
Name: MS. Ellen K Ketchum, LCSW-R
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LCSW-R
Enumeration Date: Oct 10, 2007
Last Updated: Oct 10, 2007

Practice Location

Address: 73 PORT WATSON ST
City: Cortland
State: New York
ZIP Code: 13045-3027
Phone: (607) 756-4650

Specialties & Taxonomy Codes

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

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