David Ketner
NPI #1891196978 in Colchester, Connecticut
Provider Information
- NPI Number
- 1891196978
- Entity Type
- Individual
- Name
- David Ketner
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Sep 9, 2014
- Last Updated
- Sep 9, 2014
Practice Location
- Address
- 15 BALABAN RD
- City
- Colchester
- State
- Connecticut
- ZIP Code
- 06415-1701
- Phone
- (860) 537-6100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
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Organizations
| Provider Name | |
|---|---|
| Revived Connections LLC |
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